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Pozniak K, King G, Chambers EM, Wellman-Earl S, Kraus de Camargo O, Teplicky R, Rosenbaum P. Family-centered service through the eyes of insiders: Healthcare providers who are parents speak about receiving and providing healthcare in child health. RESEARCH IN DEVELOPMENTAL DISABILITIES 2024; 149:104746. [PMID: 38678877 DOI: 10.1016/j.ridd.2024.104746] [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: 09/25/2023] [Revised: 03/20/2024] [Accepted: 04/17/2024] [Indexed: 05/01/2024]
Abstract
BACKGROUND When healthcare providers (HCPs) become patients, the experience affects their sense of identity, the care they receive, and their clinical practice. In child health, considerably less is known about the experiences of HCP-parents who access the pediatric healthcare system with their own children with disabilities and/or chronic medical conditions. AIMS This study aimed to examine the experiences of HCPs who have children with disabilities to identify their experiences with healthcare delivery. METHODS AND PROCEDURES A qualitative descriptive study was conducted with HCP-parents, using focus groups and open-ended interviews. Data were analyzed using reflexive thematic analysis. RESULTS For HCP-parents, the experience of having a child with a disability affects how they see themselves, their patients, service organizations, and the healthcare system in general. Having medical knowledge and access to networks brings both benefits and unique challenges. HCP-parents also have unique needs that are not currently being addressed. The lived experiences of HCP-parents can contribute to improving patient care. However, the value of this lived experience is unrecognized and underutilized. CONCLUSIONS The lived experiences of HCP-parents can contribute important insights regarding service delivery, and in particular regarding the application of Family-Centered Service.
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Affiliation(s)
- Kinga Pozniak
- CanChild Centre for Childhood Disability Research, McMaster University, Hamilton, Canada; Department of Pediatrics, McMaster University, Hamilton, Canada.
| | - Gillian King
- Bloorview Research Institute, Holland Bloorview Kids Rehabilitation Hospital, Toronto, Canada; Department of Occupational Science and Occupational Therapy, University of Toronto, Toronto, Canada
| | | | - Sarah Wellman-Earl
- CanChild Centre for Childhood Disability Research, McMaster University, Hamilton, Canada; Department of Pediatrics, McMaster University, Hamilton, Canada
| | - Olaf Kraus de Camargo
- CanChild Centre for Childhood Disability Research, McMaster University, Hamilton, Canada; Department of Pediatrics, McMaster University, Hamilton, Canada
| | - Rachel Teplicky
- CanChild Centre for Childhood Disability Research, McMaster University, Hamilton, Canada
| | - Peter Rosenbaum
- CanChild Centre for Childhood Disability Research, McMaster University, Hamilton, Canada; Department of Pediatrics, McMaster University, Hamilton, Canada
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Khatib WE, Fawaz M, Al-Shloul MN, Rayan A, ALBashtawy M, Al-Amer RM, Abdalrahim A, Khatatbeh M. Critical Care Nurses' Experiences During the Illness of Family Members: A Qualitative Study. SAGE Open Nurs 2022; 8:23779608221132169. [PMID: 36245848 PMCID: PMC9561664 DOI: 10.1177/23779608221132169] [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: 06/12/2022] [Revised: 09/09/2022] [Accepted: 09/23/2022] [Indexed: 11/22/2022] Open
Abstract
Introduction A loved one's hospitalization in a critical care unit is a traumatic experience for families. However, because of their status and professional competence, a family member who is also a critical care nurse has additional obstacles and often long-term consequences. Objectives To describe the experiences of critical care nurse-family members when a loved one is admitted to a critical care unit at the Hotel-Dieu de France hospital. Methods A qualitative path based on van Manen's hermeneutic phenomenology combining both descriptive and interpretive models were adopted. Results The lived experience of critical care nurses in providing care for their family members admitted into the same critical care were summarized in five themes. Nurses were torn between roles, consisting of confounding roles, their registered nurse status, and watchfulness. The lived experience of critical care nurses in providing care for their family members admitted into the same critical care was summarized into specialized knowledge that included a double-edged sword of seeking information and difficulty delivering the information. Critical nurses compete for expectations, including those placed on self and family members, resulting in emotional and personal sacrifice while gaining insight into the experiences. Conclusions Critical care nurse-family members have a unique experience compared to the rest of the family, necessitating specialized care and attention. Increased awareness among healthcare providers could be a start in the right direction.
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Affiliation(s)
| | - Mirna Fawaz
- Faculty of Health Sciences, Beirut Arab
University, Beirut, Lebanon
| | - Mohammad N. Al-Shloul
- Faculty of Nursing, Irbid National University, Irbid, Jordan,Mohammad N. Al-Shloul, RN, MPH, DrNSc,
Faculty of Nursing, Irbid National University, Irbid, Jordan.
| | - Ahmad Rayan
- Faculty of Nursing, Zarqa University,
Zarqa, Jordan
| | - Mohammed ALBashtawy
- Department of Community and Mental Health, Princess Salma Faculty of
Nursing, Al al-Bayt University, Mafraq, Jordan
| | - Rasmieh M. Al-Amer
- Department of Psychiatric Health Nursing, Faculty of Nursing,
Isra
University, Amman, Jordan,Western Sydney University, School of Nursing and Midwifery, Sydney,
NSW, Australia
| | - Asem Abdalrahim
- Department of Community and Mental Health, Princess Salma Faculty of
Nursing, AL Al-Bayt University, Mafraq, Jordan
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Santerre-Theil A, Brown TL, Körner A, Loiselle CG. Exploring healthcare professionals' experiences with informal family cancer caregiving. Support Care Cancer 2022; 30:7745-7754. [PMID: 35701633 PMCID: PMC9197331 DOI: 10.1007/s00520-022-07207-y] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/23/2021] [Accepted: 06/06/2022] [Indexed: 11/26/2022]
Abstract
Caring for a family member with cancer is often associated with significant cognitive, emotional, and physical demands. Although considerable research has explored informal cancer caregiver role burden, research has seldom focused on the experiences of individuals who hold the dual role of informal caregiver and healthcare professional. This qualitative study begins to explore this dual role experience. Participants (N = 12) who had at least 1 year of prior professional experience and cared for a family member with cancer were recruited conveniently from a large university-affiliated hospital in Montreal, Quebec. Individual face-to-face semi-structured interviews were conducted. Using thematic analysis, key themes were developed from verbatim transcripts: (1) salient dual role advantages, (2) significant challenges related to this role, (3) changes in professional practice as a consequence of informal caregiving, and (4) important palliative and end-of-life care access issues. Whereas professional knowledge helped advocate on behalf of patients, the dual role often came with over-solicitation from others, enhanced sense of responsibility, increased burden, and significant distress. Further study of critical ramifications linked to jointly enacting informal and professional caregiving across various health contexts should continue to inform supportive care strategies for this understudied yet increasingly prevalent segment of the caregiver population.
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Affiliation(s)
- Ariane Santerre-Theil
- Department of Educational and Counselling Psychology, Faculty of Education, McGill University, Montreal, QC, Canada
| | - Tyler L Brown
- Department of Oncology, Faculty of Medicine and Health Sciences, McGill University, Montreal, QC, Canada
| | - Annett Körner
- Department of Educational and Counselling Psychology, Faculty of Education, McGill University, Montreal, QC, Canada
- Lady Davis Institute for Medical Research, Jewish General Hospital, Montreal, QC, Canada
- Segal Cancer Centre, Jewish General Hospital, Montreal, QC, Canada
- Psychosocial Oncology Program, McGill University Health Centre, Montreal, QC, Canada
| | - Carmen G Loiselle
- Department of Oncology, Faculty of Medicine and Health Sciences, McGill University, Montreal, QC, Canada.
- Lady Davis Institute for Medical Research, Jewish General Hospital, Montreal, QC, Canada.
- Segal Cancer Centre, Jewish General Hospital, Montreal, QC, Canada.
- Ingram School of Nursing, Faculty of Medicine and Health Sciences, McGill University, Montreal, QC, Canada.
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"It Is Difficult to Always Be an Antagonist": Ethical, Professional, and Moral Dilemmas as Potentially Psychologically Traumatic Events among Nurses in Canada. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2022; 19:ijerph19031454. [PMID: 35162485 PMCID: PMC8834915 DOI: 10.3390/ijerph19031454] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 12/14/2021] [Revised: 01/19/2022] [Accepted: 01/24/2022] [Indexed: 02/05/2023]
Abstract
AIMS We explore social and relational dynamics tied to an unexplored potentially psychologically traumatic event (PPTE) that can impact nurses' well-being and sense of their occupational responsibilities: namely, the moral, ethical, or professional dilemmas encountered in their occupational work. DESIGN We used a semi-constructed grounded theory approach to reveal prevalent emergent themes from the qualitative, open-ended component of our survey response data as part of a larger mixed-methods study. METHODS We administered a national Canadian survey on nurses' experiences of occupational stressors and their health and well-being between May and September 2019. In the current study, we analyzed data from four open text fields in the PPTE section of the survey. RESULTS In total, at least 109 participants noted that their most impactful PPTE exposure was a moral, professional, and/or ethical dilemma. These participants volunteered the theme as a spontaneous addition to the list of possible PPTE exposures. CONCLUSIONS Emergent theme analytic results suggest that physicians, other nurses, staff, and/or the decision-making power of patients' families can reduce or eliminate a nurse's perception of their agency, which directly and negatively impacts their well-being and may cause them to experience moral injury. Nurses also report struggling when left to operationalize patient care instructions with which they disagree. IMPACT Nurses are exposed to PPTEs at work, but little is known about factors that can aggravate PPTE exposure in the field, impact the mental wellness of nurses, and even shape patient care. We discuss the implications of PPTE involving moral, professional, and ethical dilemmas (i.e., potentially morally injurious events), and provide recommendations for nursing policy and practice.
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Bristol AA, Martin-Plank L, Crist JD. Health Care Professionals' Experiences as Family Caregivers During Intra-Hospital Transitions. J Gerontol Nurs 2021; 47:31-36. [PMID: 33497448 DOI: 10.3928/00989134-20210113-02] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/23/2020] [Accepted: 08/19/2020] [Indexed: 11/20/2022]
Abstract
Family caregivers are often perceived as inexperienced family members assuming caregiving duties. However, health care professionals may also find themselves in an informal caregiving role as older adult relatives or friends are hospitalized and experience intra-hospital transitions. The purpose of the current study was to describe the experiences of health care professionals assuming the role of informal caregiver during intra-hospital transitions. As part of a larger study, a separate analysis of six semi-structured interviews from family caregivers with health care backgrounds was considered. Health care professionals as family caregivers (HCP-FCs) reported they sought inclusion in the care provided, they had unique insider perspectives, and experienced role struggle between health care professional and new informal caregiver. Moreover, HCP-FCs reported increased role struggle during interactions with colleagues and fellow health care professionals. Understanding of the role of HCP-FCs during transitions in care is necessary to develop interventions supportive of patient- and family-centered care. [Journal of Gerontological Nursing, 47(2), 31-36.].
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Shattnawi KK, Abdallah IH, Khater W, Alashram SA. Experiences of Neonatal Intensive Care Unit Nurses as Mothers of Newborns in Neonatal Intensive Care Units: A Jordanian Qualitative Study. J Pediatr Nurs 2021; 59:e77-e83. [PMID: 33674160 DOI: 10.1016/j.pedn.2021.02.003] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 12/28/2020] [Revised: 02/01/2021] [Accepted: 02/01/2021] [Indexed: 11/18/2022]
Abstract
PURPOSE Little research has explored the experiences and perspectives of neonatal intensive care unit (NICU) nurses who have also experienced being NICU parents. The purpose of this study was to explore the experiences of these nurses who have or have ever had an infant hospitalized in a NICU. DESIGN AND METHODS A qualitative descriptive design using semi-structured interviews with a purposive sample of 9 registered Jordanian NICU nurses who have or have had a child admitted to a NICU. RESULTS Findings suggest an oscillation between the role of being a nurse and the role of being a mother. The nurses' background clinical experience has an impact on how they provided and received care and on the decisions they made regarding their infants' care plans. Nurses reported fears of the "recommended patient syndrome" and tried to avoid being labeled as "nagging" by other healthcare providers. CONCLUSIONS Study findings shed light on the needs of NICU nurses with NICU admitted infants and the struggle faced by nurses-mothers as a result of their dual role, and highlights the importance of the family centered developmental care approach that recognizes the family as the cornerstone of the NICU health care team. PRACTICE IMPLICATIONS Findings highlight issues related to the shared needs between mothers and nurse-mothers in relation to proximity and involvement in newborn care plan.
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Affiliation(s)
- Khulood Kayed Shattnawi
- Maternal & Child Health Nursing Department/Faculty of Nursing, Jordan University of Science and Technology, Irbid, Jordan.
| | | | - Wejdan Khater
- Jordan University of Science and Technology, Adult Health Nursing Department/Faculty of Nursing, Irbid, Jordan.
| | - Safa A Alashram
- Specialization Department, Jordanian Nursing Council, Jordan.
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Detaille SI, de Lange A, Engels J, Pijnappels M, Hutting N, Osagie E, Reig-Botella A. Supporting Double Duty Caregiving and Good Employment Practices in Health Care Within an Aging Society. Front Psychol 2020; 11:535353. [PMID: 33262718 PMCID: PMC7687392 DOI: 10.3389/fpsyg.2020.535353] [Citation(s) in RCA: 8] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/15/2020] [Accepted: 10/02/2020] [Indexed: 11/25/2022] Open
Abstract
Background: Due to the aging society the number of informal caregivers is growing. Most informal caregivers are women working as nurses within a health organization (also labeled as double-duty caregiver) and they have a high risk of developing mental and physical exhaustion. Until now little research attention has been paid to the expectations and needs of double duty caregivers and the role of self-management in managing private-work balance. Objective: The overall aim of this study was to investigate the expectations and needs of double duty caregivers in Netherlands, and to examine the meaning of self-management in managing work-life balance. Method: Different research methods have been applied in this exploratory study. Firstly, a scoping review has been conducted on the topics self-management and sustainable employability of double-duty caregivers using the search engines: CINAHL, MEDLINE, PubMed, and Google Scholar. Furthermore, a qualitative study has been conducted through focus groups with double duty caregivers. Results: Twenty studies that met the inclusion criteria (i.e., nurses with double duty caregiving tasks) could be identified. We found that double duty caregivers have different motivations for being a double duty caregiver based on internal and external expectations. Double duty caregiving causes a lot of mental and physical pressure for the caregiver. To be able to combine both duty’s, double duty caregivers need flexibility and understanding from the workplace. Through two focus groups (N = 17) we found that social support from the workplace is not enough to be able to manage the situation. Self-management skills are important to be able to communicate effectively with the workplace and community care organizations about the kind of support needed. Also, health care organizations should offer the same support to double duty caregivers as any other informal caregiver. Discussion: Double-duty caregivers are at high risk of developing symptoms of overload and risk of reduced self-management quality and employability levels across time. Health care organizations and the double duty caregiver often wait too long to act instead of taking more preventive measures. Furthermore, community care organizations should dialog with double duty caregivers about their wishes concerning the division of caring tasks. This finding calls for special attention, with long-term solutions at both macro (health-care level), organizational (meso-level), and employee level (micro level).
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Affiliation(s)
- Sarah I Detaille
- Department of Human Resource Management, HAN University of Applied Sciences, Nijmegen, Netherlands.,Department of Psychology, Universidade da Coruna, A Coruña, Spain
| | - Annet de Lange
- Department of Human Resource Management, HAN University of Applied Sciences, Nijmegen, Netherlands.,Department of Psychology, Universidade da Coruna, A Coruña, Spain.,Faculty of Psychology, Open University Heerlen, Heerlen, Netherlands.,Norwegian School of Hotel Management, University of Stavanger, Stavanger, Norway.,Faculty of Psychology, Norwegian University of Science and Technology, Trondheim, Norway
| | - Josephine Engels
- Department of Human Resource Management, HAN University of Applied Sciences, Nijmegen, Netherlands
| | - Mirthe Pijnappels
- Department of Human Resource Management, HAN University of Applied Sciences, Nijmegen, Netherlands
| | - Nathan Hutting
- Department of Human Resource Management, HAN University of Applied Sciences, Nijmegen, Netherlands
| | - Eghe Osagie
- Department of Human Resource Management, HAN University of Applied Sciences, Nijmegen, Netherlands
| | - Adela Reig-Botella
- Department of Human Resource Management, HAN University of Applied Sciences, Nijmegen, Netherlands.,Department of Psychology, Universidade da Coruna, A Coruña, Spain
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Klages D, East L, Usher K, Jackson D. Modes of Informed Caring: Perspectives of Health Professionals Who Are Mothers of Adult Children with Schizophrenia. Issues Ment Health Nurs 2020; 41:792-798. [PMID: 32421377 DOI: 10.1080/01612840.2020.1731890] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/24/2022]
Abstract
Schizophrenia is a global concern, and, this paper, describes the caring roles of health professionals who are mothers of adult children with schizophrenia. A thematic analysis of data from a doctoral study identified a blending of expertise into an informed care model. Caring roles included: constant carer; coordinator carer; watchful bystander carer; and life coach carer. Previous research has not explored these dual roles. This paper elucidates their responsive approaches and contributions to mothering and caregiving roles. Informed by a fusion of professional and mothering knowledges, their insights into mental health care have been forged by their experiences and is an untapped resource.
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Affiliation(s)
- Debra Klages
- School of Health, University of New England, Armidale, NSW, Australia
| | - Leah East
- School of Health, University of New England, Armidale, NSW, Australia
| | - Kim Usher
- School of Health, University of New England, Armidale, NSW, Australia
| | - Debra Jackson
- Faculty of Health, University of Technology Sydney (UTS), Sydney, NSW, Australia
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Klages D, East L, Usher K, Jackson D. Post-traumatic growth: Health professionals as mothers of adult children with schizophrenia. Health Care Women Int 2020; 41:916-927. [PMID: 32772890 DOI: 10.1080/07399332.2020.1781126] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/23/2022]
Abstract
Worldwide, mothers provide lifelong care for their ill children. Our aim in this paper was to describe the development of post-traumatic growth in an international group of mothers. Interviews with a feminist storytelling approach were conducted with 13 health professionals who were mothers of adult children with schizophrenia. Using thematic analysis, we found they had experienced a complex traumatic process complicated by gender and health care's dominant ruling relations. Over time, the women grew and became experts by experience due to their combined mothering and professional knowledges. Health professionals can play a central role and support their peers to care for family members with mental illnesses.
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Affiliation(s)
- Debra Klages
- School of Health, University of New England, Armidale, Australia
| | - Leah East
- School of Health, University of New England, Armidale, Australia
| | - Kim Usher
- School of Health, University of New England, Armidale, Australia
| | - Debra Jackson
- Faculty of Health, University of Technology, Sydney, Australia
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Professional insights from nurses who are carers for family with chronic illness: A phenomenological approach. Collegian 2018. [DOI: 10.1016/j.colegn.2017.09.007] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/18/2022]
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Rowland P, Kuper A. Beyond vulnerability: how the dual role of patient-health care provider can inform health professions education. ADVANCES IN HEALTH SCIENCES EDUCATION : THEORY AND PRACTICE 2018; 23:115-131. [PMID: 28456855 DOI: 10.1007/s10459-017-9777-y] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 10/06/2016] [Accepted: 04/24/2017] [Indexed: 06/07/2023]
Abstract
In order to prepare fully competent health care professionals, health professions education must be concerned with the relational space between patients and providers. Compassion and compassionate care are fundamental elements of this relational space. Traditionally, health professions educators and leaders have gone to two narrative sources when attempting to better under constructs of compassion: patients or providers. Rarely have there been explorations of the perspectives of those who consider themselves as both patients and providers. In this study, we interviewed nineteen health care providers who self-disclosed as having had a substantive patient experience in the health care system. We engaged with these participants to better understand their experience of having these dual roles. Anchored in Foucault's concepts of subjectivity and Goffman's symbolic interactionism, the interviews in this study reveal practices of moving between the two roles of patient and provider. Through this exploration, we consider how it is that providers who have been patients understand themselves to be more compassionate whilst in their provider roles. Rather than describing compassion as a learnable behaviour or an innate virtue, we theoretically engage with one proposed mechanism of how compassion is produced. In particular, we highlight the role of critical reflexivity as an underexplored construct in the enactment of compassion. We discuss these findings in light of their implications for health professions education.
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Affiliation(s)
- Paula Rowland
- Department of Occupational Science and Occupational Therapy, Faculty of Medicine, University of Toronto, Toronto, ON, Canada.
- AMS Phoenix Project, Toronto, ON, Canada.
- Centre for Interprofessional Education, University of Toronto/University Health Network, Toronto, ON, Canada.
- University Health Network, 200 Elizabeth Ave, Eaton North, 1-812, Toronto, ON, M5G 2C4, Canada.
- Wilson Centre for Research in Education, University Health Network/University of Toronto, Toronto, ON, Canada.
| | - Ayelet Kuper
- Wilson Centre for Research in Education, University Health Network/University of Toronto, Toronto, ON, Canada
- Department of Medicine, Sunnybrook Health Sciences Centre, Toronto, ON, Canada
- Department of Medicine, Faculty of Medicine, University of Toronto, Toronto, ON, Canada
- Person-Centred Care Education, Department of Medicine, Faculty of Medicine, University of Toronto, Toronto, ON, Canada
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Tesh A, Kautz DD. Double vision: When a dying patient's family member is also a nurse. Nurs Manag (Harrow) 2017; 48:46-51. [PMID: 29210853 DOI: 10.1097/01.numa.0000526909.24168.38] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/07/2023]
Affiliation(s)
- Anita Tesh
- Anita Tesh is chair of the division of adult and geriatric health at the University of North Carolina at Chapel Hill School of Nursing. Donald D. Kautz is retired. He's associate professor emeritus of nursing at the University of North Carolina at Greensboro
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Quinney L, Dwyer T, Chapman Y. Tensions in the personal world of the nurse family carer: A phenomenological approach. Nurs Inq 2017; 25. [PMID: 28597986 DOI: 10.1111/nin.12206] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 04/30/2017] [Indexed: 12/01/2022]
Abstract
The incidence of chronic illness is growing globally. As a result, there are fiscal and social implications for health delivery. Alongside the increased burden on health resources is the expectation that someone within the family will assume the responsibility of carer for those who are chronically ill. The expectation to assume the role of carer may be amplified for family members who are also nurses. Currently, there is little research that investigates the impact of nurses who are carers for family with a chronic illness. Consequently, this qualitative study, based on face-to-face and telephone dialogue, was conducted using unstructured interviews. A phenomenological-hermeneutic approach utilizing the hermeneutic circle was employed to understand the meaning of the transcriptions. Hermeneutic phenomenology inspired by Heideggerian philosophy was used as a framework to clarify themes and build ways of understanding the phenomenon of 'Being' a nurse and a family carer. Themes identified in the analysis of the study included a personal world, a professional world and a practical world. This paper explicates the findings from examination of the personal world of 'Being' a nurse who is also a family carer. Analysis revealed there were three facets to this way of 'Being': a shared experience, a caring experience and a fraught experience. The findings of the study disclosed that participants were informed by experiences that were both enriching and conflicting. These insights can enlighten healthcare professionals to the tensions which exist for nurses who care for family so that these considerations are incorporated into individualized and effective family-centred care.
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Affiliation(s)
- Loretto Quinney
- School of Nursing, Central Queensland University, Rockhampton, QLD, Australia
| | - Trudy Dwyer
- School of Nursing, Central Queensland University, Rockhampton, QLD, Australia
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Tesh A, Kautz DD. Double vision: When a dying patient's family member is also a nurse. Nursing 2017; 47:50-54. [PMID: 28445338 DOI: 10.1097/01.nurse.0000513607.33529.23] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/07/2023]
Affiliation(s)
- Anita Tesh
- Anita Tesh is chair of the Division of Adult and Geriatric Health at the School of Nursing at the University of North Carolina at Chapel Hill, N.C. Donald D. Kautz is retired. He's associate professor emeritus of nursing at the University of North Carolina at Greensboro, N.C. The authors have disclosed no financial relationships related to this article
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Sabyani H, Wiechula R, Magarey J, Donnelly F. Experiences of healthcare professionals of having their significant other admitted to an acute care facility: a qualitative systematic review. JBI DATABASE OF SYSTEMATIC REVIEWS AND IMPLEMENTATION REPORTS 2017; 15:1409-1439. [PMID: 28498175 DOI: 10.11124/jbisrir-2016-003028] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 10/31/2022]
Abstract
BACKGROUND Most healthcare professionals at some time will experience having a significant other admitted to an acute care hospital. The knowledge and understanding that these individuals possess because of their professional practice can potentially alter this experience. Expectations of staff and other family members (FMs) can potentially increase the burden on these health professionals. All FMs of patients should have their needs and expectations considered; however, this review specifically addresses what may be unique for healthcare professionals. OBJECTIVES To synthesize the qualitative evidence on the experiences of healthcare professionals when their significant others are admitted to an acute care hospital. INCLUSION CRITERIA TYPES OF PARTICIPANTS The current review considered studies reporting the experiences of healthcare professionals, specifically registered nurses (RNs) and physicians. PHENOMENA OF INTEREST The experiences of RNs and physicians when a significant other is admitted to an acute care facility. TYPES OF STUDIES Qualitative studies that have examined the phenomenon of interest including, but not limited to, designs such as phenomenology and grounded theory. SEARCH STRATEGY The search strategy aimed to find both published and unpublished studies with no date restrictions. Only studies published in English were considered for inclusion in this review. METHODOLOGICAL QUALITY Qualitative papers selected for retrieval were assessed using the standardized critical appraisal instrument from the Joanna Briggs Institute Qualitative Assessment and Review Instrument (JBI-QARI). DATA EXTRACTION Data were extracted from the seven included papers using the standardized data extraction tool from JBI-QARI. DATA SYNTHESIS The data were synthesized using the JBI approach to meta-synthesis by meta-aggregation using the JBI-QARI software and methods. RESULTS Seven studies of moderate quality were included in the review. Forty findings were extracted and aggregated to create 10 categories, from which five synthesized findings were derived: CONCLUSION: In contrast to "lay" FMs, health professionals possess additional knowledge and understanding that alter their perceptions and expectations, and the expectations others have of them. This knowledge and understanding can be an advantage in navigating a complex health system but may also result in an additional burden such as role conflict.
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Affiliation(s)
- Hussamaldeen Sabyani
- 1Adelaide Nursing School, The University of Adelaide, Adelaide, Australia 2The Centre for Evidence-Based Practice South Australia (CEPSA): a Joanna Briggs Institute Centre of Excellence, Adelaide, Australia 3King Abdullah Medical City, Makkah, Mecca, Saudi Arabia
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Lines LE, Mannix T, Giles TM. Nurses' experiences of the hospitalisation of their own children for acute illnesses. Contemp Nurse 2015; 50:274-85. [PMID: 26340162 DOI: 10.1080/10376178.2015.1089180] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/23/2022]
Abstract
BACKGROUND The hospitalisation of a child is a stressful event for parents. Parents who are also nurses may face additional challenges not encountered by other parents; yet, scant attention has been given to this issue in the literature. AIM To explore the experiences of Nurse-Parents whose children were hospitalised for acute illnesses. METHODS/DESIGN Using a case-study design, semi-structured interviews were conducted with six registered nurses and thematically analysed. RESULTS/FINDINGS Nurse-Parents experienced significant conflicts between their parental role and nurse persona as they were 'torn between dual roles'. Nurse-Parents' specialised knowledge prompted them to elevate the care their child needed, leading to increased stress and anxiety as they struggled to balance these roles. CONCLUSION Nurse-Parents want and need a different type of input into their children's care than non-nurse-parents. An increased awareness among healthcare professionals is the first step to ensuring that effective and individualised support is provided to Nurse-Parents.
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Affiliation(s)
- Lauren E Lines
- a School of Nursing & Midwifery , Flinders University , GPO Box 2100, Adelaide , SA , 5001 , Australia
| | - Trudi Mannix
- a School of Nursing & Midwifery , Flinders University , GPO Box 2100, Adelaide , SA , 5001 , Australia
| | - Tracey M Giles
- a School of Nursing & Midwifery , Flinders University , GPO Box 2100, Adelaide , SA , 5001 , Australia
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