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López-Panza ER, Pacheco-Roys VC, Fernández-Ahumada KJ, Díaz-Mass DC, Expósito-Concepción MY, Villarreal-Cantillo E, Aviles Gonzalez CI. Competencies of the nurses in the limitation of therapeutic effort in the intensive care unit: An integrative review. Int J Nurs Sci 2024; 11:143-154. [PMID: 38352294 PMCID: PMC10859575 DOI: 10.1016/j.ijnss.2023.12.011] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/27/2023] [Revised: 12/04/2023] [Accepted: 12/13/2023] [Indexed: 02/16/2024] Open
Abstract
Objective Nurses inevitably encounter patients who require care aimed at limiting therapeutic effort (LTE), even though many of them are not prepared to provide support to individuals with terminal illnesses and their families. One of the contexts in which the LTE is considered is the intensive care unit (ICU). This review is to describe the competencies for the execution of a nursing professional role in the LTE in the ICU. Method An integrative review of the literature published between the years 2010 and 2023. The search was carried out in five databases: Medline, Wiley Online Library, SciELO, ScienceDirect, and Web of Science. The Critical Appraisal Skills Programme in Spanish was used as the template for study evaluation. The methodology of the Oxford Center for Evidence-Based Medicine (CEBM) was used to assess the level of evidence and the degree of recommendation. Result A total of 25 articles in a wide range of studies were included. The findings suggest that the competencies for LTE in the ICU are direct patient care, family-centered care, and the role of the nurse within the team. However, more high-quality studies are needed to confirm these conclusions. Three categories were identified: (a) competencies as defender agent between the patient, his family, and the interdisciplinary team; (b) competencies for decision-making in limiting the therapeutic effort; and (c) competencies for nursing therapeutic interventions at the end of life. Conclusion The competencies of the nursing professionals who work in the adult ICU in the LTE are essential to the patient's quality of life, dignity of their death, and comprehensive family support for coping with grief.
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Affiliation(s)
- Elvia R. López-Panza
- Nursing Department, Universidad del Norte, Barranquilla, Colombia
- Nursing Program, Faculty of Health Sciences, Universidad Popular del César, Valledupar, Colombia
| | - Vanessa C. Pacheco-Roys
- Nursing Department, Universidad del Norte, Barranquilla, Colombia
- Clínica Valledupar, Valledupar, Colombia
| | - Kelly J. Fernández-Ahumada
- Nursing Department, Universidad del Norte, Barranquilla, Colombia
- Hospital Universidad del Norte, Soledad, Colombia
| | | | | | | | - Cesar I. Aviles Gonzalez
- Nursing Program, Faculty of Health Sciences, Universidad Popular del César, Valledupar, Colombia
- Department of Medical Sciences and Public Health, University of Cagliari, Cittadella Universitaria di Monserrato, Cagliari, Italy
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Pouresmail Z, Heshmati Nabavi F, Valizadeh Zare N. Outcomes of Patient Education in Nurse-led Clinics: A Systematic Review. J Caring Sci 2023; 12:188-200. [PMID: 38020736 PMCID: PMC10663435 DOI: 10.34172/jcs.2023.31891] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/11/2022] [Accepted: 07/13/2023] [Indexed: 12/01/2023] Open
Abstract
Introduction Patient education is an independent role of nurses performed in nurse-led clinics (NLCs). The measurement of patient education outcomes validates whether nursing educational interventions have a positive effect on patients, which helps determine whether changes in care are needed. Standardized nursing terminologies facilitate the evaluation of educational outcomes. We aimed to explore the outcomes of patient education in NLCs based on the Nursing Outcome Classification (NOC) system. Methods The review was conducted according to PRISMA guidelines. We searched "Medline", "Embase", "Web of Science", and "Scopus" databases for articles published between 2000 and 2022. Based on the search strategy, 1157 articles were retrieved from PubMed, Scopus, Web of Science, and Embase databases. After excluding the duplicates, 978 articles were appraised. 133 articles remained after reading the titles and abstracts of the articles. In the next step, the articles were evaluated regarding methodology, research population, and exclusion criteria, after which 112 articles were omitted, and finally, 21 articles were included in the full-text review. We assessed all included studies using the Quality Assessment of Controlled Intervention Studies checklist. Results A total of 21 randomized controlled trials met the inclusion criteria. "Physiologic health", "functional health", "psychosocial health", "health knowledge and behavior", and "perceived health" were the domains of nursing outcomes investigated as Patient Education Outcomes in NLCs. Conclusion Most of the outcomes were linked to lifestyle-related chronic diseases and, further studies are needed to determine the effects of patient education provided in NLCs in terms of family/society health outcomes.
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Affiliation(s)
- Zohre Pouresmail
- Department of Medical-Surgical Nursing, School of Nursing and Midwifery, Mashhad University of Medical Sciences, Mashhad, Iran
- Student Research Committee, Mashhad University of Medical Sciences, Mashhad, Iran
| | - Fatemeh Heshmati Nabavi
- Nursing and Midwifery Care Research Center, Mashhad University of Medical Sciences, Mashhad, Iran
- Department of Community Health and Psychiatric Nursing, School of Nursing and Midwifery, Mashhad University of Medical Sciences, Mashhad, Iran
| | - Najmeh Valizadeh Zare
- Nursing and Midwifery Care Research Center, Mashhad University of Medical Sciences, Mashhad, Iran
- Department of Operating Room, School of Nursing and Midwifery, Mashhad University of Medical Sciences, Mashhad, Iran
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Gilles de la Londe J, Afrite A, Mousquès J. How does the quality of care for type 2 diabetic patients benefit from GPs-nurses' teamwork? A staggered difference-in-differences design based on a French pilot program. Int J Health Econ Manag 2023; 23:433-466. [PMID: 37106248 DOI: 10.1007/s10754-023-09354-z] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 09/02/2021] [Accepted: 03/21/2023] [Indexed: 06/19/2023]
Abstract
In many countries, policies have explicitly encouraged primary care teams and inter-professional cooperation and skill mix, as a way to improve both productive efficiency gains and quality improvement. France faces barriers to developing team working as well as new and more advanced roles for health care professionals including nurses. We aim to estimate the impact of a national pilot experiment of teamwork between general practitioners (GPs) and advance practitioners nurses (APN)-who substitute and complement GPs-on yearly quality of care process indicators for type two diabetes patients (T2DP). Implemented by a not-for-profit meso-tier organisation and supported by the Ministry of Health, the pilot relied on the voluntary enrolment of newly GPs from 2012 to 2015; the staffing and training of APNs; skill mixing and new remuneration schemes. We use latent-response formulation models, control for endogeneity and selection bias by using controlled before-after and quasi-experimental design combining coarsened exact matching-prior to the treatment, at both GPs (435 treated vs 973 control) and T2DP levels -, with intention to treat (ITT; 18,310 in each group) and per protocol (PP, 2943 in each group) perspectives, as well as difference-in-differences estimates on balanced panel claims data from the National Health Insurance Fund linked to clinical data over the period 2010-2017. We show evidence of a positive and significant positive impact for T2DP followed-up by newly enrolled GPs in the pilot compared to the pretreatment period and the control group. The effect magnitudes were larger for PP than for ITT subsamples.
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Affiliation(s)
- Julie Gilles de la Londe
- Département de Médecine Générale, Université de Paris, 16 Rue Henri Huchard, 75018, Paris, France
| | - Anissa Afrite
- Institute for Research and Information in Health Economics (IRDES), 21 Rue Des Ardennes, 75019, Paris, France
| | - Julien Mousquès
- Ecole Des Hautes Etudes en Santé Publique (EHESP), ARENES (UMR 6051), 15 Av. du Professeur Léon Bernard, 35043, Rennes, France.
- Institute for Research and Information in Health Economics (IRDES), 21 Rue Des Ardennes, 75019, Paris, France.
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Shin S, Kim GS, Song JA, Lee I. Development of examination objectives based on nursing competency for the Korean Nursing Licensing Examination: a validity study. J Educ Eval Health Prof 2022; 19:19. [PMID: 35989557 PMCID: PMC9585263 DOI: 10.3352/jeehp.2022.19.19] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 06/17/2022] [Accepted: 07/19/2022] [Indexed: 06/15/2023]
Abstract
PURPOSE This study aimed to develop the examination objectives based on nursing competency of the Korean Nursing Licensing Examination. METHODS This is a validity study to develop the examination objectives based on nursing competency. Data were collected in December 2021. We reviewed the literature related to changing nurse roles and on the learning objectives for the Korea Medical Licensing Examination and other health personnel licensing examinations. Thereafter, we created a draft of the nursing problems list for examination objectives based on the literature review, and the content validity was evaluated by experts. A final draft of the examination objectives is presented and discussed. RESULTS A total of 4 domains, 12 classes, and 85 nursing problems for the Korean Nursing Licensing Examination were developed. They included the essentials of objectives, related factors, evaluation goals, related activity statements, related clients, related settings, and specific outcomes. CONCLUSION This study developed a draft of the examination objectives based on clinical competency that were related to the clinical situations of nurses and comprised appropriate test items for the licensing examination. Above results may be able to provide fundamental data for item development that reflects future nursing practices.
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Affiliation(s)
- Sujin Shin
- College of Nursing, Ewha Womans University, Seoul, Korea
| | - Gwang Suk Kim
- College of Nursing, Mo-Im Kim Nursing Research Institute, Yonsei University, Seoul, Korea
| | - Jun-Ah Song
- College of Nursing, BK21 FOUR R&E Center for Learning Health Systems, Korea University, Seoul, Korea
| | - Inyoung Lee
- College of Nursing, Ewha Womans University, Seoul, Korea
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Yang Y, Liu H, Sherwood GD. Second-order problem solving: Nurses' perspectives on learning from near misses. Int J Nurs Sci 2021; 8:444-452. [PMID: 34631995 PMCID: PMC8488812 DOI: 10.1016/j.ijnss.2021.08.001] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/10/2021] [Revised: 06/07/2021] [Accepted: 08/04/2021] [Indexed: 11/16/2022] Open
Abstract
OBJECTIVES Near misses happen more frequently than actual errors, and highlight system vulnerabilities without causing any harm, thus provide a safe space for organizational learning. Second-order problem solving behavior offers a new perspective to better understand how nurses promote learning from near misses to improve organizational outcomes. This study aimed to explore frontline nurses' perspectives on using second-order problem solving behavior in learning from near misses to improve patient safety. METHODS A qualitative exploratory study design was employed. This study was conducted in three tertiary hospitals in east China from June to November 2015. Purposive sampling was used to recruit 19 frontline nurses. Semi-structured interviews and a qualitative directed content analysis was undertaken using Crossan's 4I Framework of Organizational Learning as a coding framework. RESULTS Second-order problem solving behavior, based on the 4I Framework of Organizational Learning, was referred to as being a leader in exposing near misses, pushing forward the cause analysis within limited capacity, balancing the active and passive role during improvement project, and promoting the continuous improvement with passion while feeling low-powered. CONCLUSIONS 4I Framework of Organizational Learning can be an underlying guide to enrich frontline nurses' role in promoting organizations to learn from near misses. In this study, nurses displayed their pivotal role in organizational learning from near misses by using second-order problem solving. However, additional knowledge, skills, and support are needed to maximize the application of second-order problem solving behavior when near misses are recognized.
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Affiliation(s)
- Yi Yang
- Peking Union Medical College, School of Nursing, China
| | - Huaping Liu
- Peking Union Medical College, School of Nursing, China
| | - Gwen D. Sherwood
- The University of North Carolina at Chapel Hill, School of Nursing, NC, USA
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Firouzkouhi M, Kako M, Abdollahimohammad A, Balouchi A, Farzi J. Nurses' Roles in Nursing Disaster Model: A Systematic Scoping Review. Iran J Public Health 2021; 50:879-887. [PMID: 34183946 PMCID: PMC8223579 DOI: 10.18502/ijph.v50i5.6105] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Indexed: 11/27/2022]
Abstract
Background: Nurses have a continuous presence and crucial role in response to disasters. During disasters, nurses apply specific knowledge and skills to minimize victims’ health and life-threatening risks. Nurses’ roles in crisis are not clearly stated in resources. Thus, this study aimed to explore nurses’ role in the nursing disaster model. Methods: A scoping review was conducted using Joanna Briggs Institute framework. The review considered primary research and reviewed literature from following databases, including Web of Science, Cumulative Index of Nursing and Allied Health Literature (CINAHL), PubMed, Scopus, and Google Scholar, as well as the reference lists of articles identified for full-text review. Eligibility criteria were outlined as a priori to guide the literature selection. Results: Eight of 60 eligible articles met the inclusion criteria. The studies were conducted in different countries with no limit of time of published articles. The publications’ design were three systematic reviews, one meta-synthesis, two qualitative types of research, one quasi-experimental, and one case study. The results showed nurses’ roles in the three stages before, during, and after the crisis. Conclusion: This review provided a comprehensive understanding of the concept of the nursing role in the crisis, and nurses could be useful to save victims through preparing and implementing effective care at different stages of a crisis.
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Affiliation(s)
- Mohammadreza Firouzkouhi
- Department of Medical-Surgical, Faculty of Nursing and Midwifery, Zabol University of Medical Sciences, Zabol, Iran
| | - Mayumi Kako
- School of Medicine Graduate, School of Medical, Hiroshima, Japan
| | - Abdolghani Abdollahimohammad
- Department of Medical-Surgical, Faculty of Nursing and Midwifery, Zabol University of Medical Sciences, Zabol, Iran
| | - Abbas Balouchi
- Nursing Care Research Center, Iran University of Medical Sciences, Tehran, Iran
| | - Jebraeil Farzi
- Department of Health Information Technology, School of Allied Medical Sciences, Zabol University of Medical Sciences, Zabol, Iran
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Park Y, Nam K, Bae J. Mediating Effects of Role Perception of Life-sustaining Treatment in the Relationship between Knowledge of Life-sustaining Treatment Plans and Attitudes toward Withdrawal of Life-sustaining Treatment among Nursing College Students. J Hosp Palliat Care 2021; 24:36-45. [PMID: 37675049 PMCID: PMC10180004 DOI: 10.14475/jhpc.2021.24.1.36] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 10/11/2020] [Revised: 01/22/2021] [Accepted: 01/23/2021] [Indexed: 09/08/2023]
Abstract
Purpose This study examined the relationship between Knowledge of Life-sustaining Treatment Plans and Attitudes toward Withdrawal of Life-sustaining Treatment among nursing college students, and attempted to identify the mediating effect of Role Perception on Life-sustaining Treatment in that relationship. It is hoped that the findings will ultimately contribute to the development of active nursing strategies. Methods The participants were 142 nursing college students in the third and fourth years of study who had experienced clinical practice at two universities in cities Y and C. Data were collected from November 1 to 30, 2019. For data analysis, SPSS for Windows version 22.0 was used to calculate descriptive statistics, the t-test, Pearson's correlation coefficients, and multiple regression. To analyze the mediating effect, the Baron and Kenny bootstrapping method was used. Results Attitudes toward Withdrawal of Life-sustaining Treatment of nursing college students had a significant positive correlation with Knowledge of Life-sustaining Treatment Plans (r=0.34, P<0.001) and Role Perception on Life-sustaining Treatment (r=0.44, P<0.001). Role Perception on Life-sustaining Treatment partially mediated the relationship between Knowledge of Life-sustaining Treatment Plans and Attitudes toward Withdrawal of Life-sustaining Treatment (95% CI, 0.446~1.055). Conclusion Based on the results of this study, improving nursing college students' Role Perception on Life-sustaining Treatment could be used as a coping strategy to establish positive Attitudes toward Withdrawal of Life-sustaining Treatment.
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Affiliation(s)
- Youngmi Park
- Department of Nursing, Kyung Hee University Medical Center E&C Jungang General Hospital, Kimhae, Korea
| | - Keumhee Nam
- College of Nursing, Kosin University, Busan, Korea
| | - Joohee Bae
- Department of Nursing, Kyungnam College of Information & Technology, Busan, Korea
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Kwon SH, Park MH, Kim HS. Education, Role, and Prospects of Advanced Practice Nurses in Hospice and Palliative Care in South Korea. J Hosp Palliat Care 2021; 24:1-12. [PMID: 37675054 PMCID: PMC10179999 DOI: 10.14475/jhpc.2021.24.1.1] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 01/14/2021] [Revised: 01/21/2021] [Accepted: 01/23/2021] [Indexed: 09/08/2023]
Abstract
Hospice palliative care refers to holistic care provided by an interdisciplinary team aimed at improving the quality of life of patients suffering from life-threatening diseases and their families. Among interdisciplinary team members, hospice advanced practice nurses (APNs) trained as master's-level advanced nursing professionals are leaders who play an important role in providing patient-centered care and improving the quality of services. The Medical Service Act revised in 2018 requires the scope of practice of APNs in each field to be specified in the Ordinance of the Ministry of Health and Welfare. Accordingly, discussions on the role and scope of practice of hospice APNs are actively underway. In this review, the curriculum of hospice APNs, their work responsibilities and roles, and their current status are reviewed, and the future direction of the hospice APN system is also discussed.
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Affiliation(s)
- So-Hi Kwon
- Hospice & Palliative Center, Seoul St. Mary’s Hospital, The Catholic University of Korea, Seoul, Korea
| | - Myung-Hee Park
- College of Nursing, Research Institute of Nursing Science, Kyungpook National University, Daegu, Korea
| | - Hyun Sook Kim
- Department of Nursing, Korea National University of Transportation, Jeungpyeong, Korea
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Reisinho MDC, Gomes BP, Carvalho F, Borges E. Caring for Adolescents with Cystic Fibrosis, in Portugal: The Nurse's Role. Compr Child Adolesc Nurs 2020:1-9. [PMID: 33351649 DOI: 10.1080/24694193.2020.1850916] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/21/2020] [Accepted: 11/09/2020] [Indexed: 10/22/2022]
Abstract
This study aimed to describe the nurse's role in the transition processes of adolescents with cystic fibrosis and their parents. Cystic fibrosis is a multisystem, life-shortening genetic disease, caused by malfunction of the protein-encoding gene Cystic fibrosis transmembrane conductance regulator, characterized by a disturbance of external secretion glands. Moreover, the potential presence of respiratory, gastrointestinal, pancreatic, and reproductive-related symptomatology in these patients can add a substantial burden to the disease. In Portugal, the prevalence rate is 1:7,963 of newborns and the life expectancy is around 40 years. Because of the disease multiple-related symptoms, sometimes disabling, health teams include different professionals, with nurses being the main responsible for caring for adolescents with Cystic Fibrosis and providing guidance to their parents. A qualitative paradigm of phenomenological type was designed. A total of 20 semi-structured interviews were conducted with participants selected through the snowball technique. Content analysis was performed as proposed by Bardin. The average age of participants ranged between 28 and 53 years, and the average time of professional exercise ranged between 5 and 27 years. From the analysis of the interviews, the category Nurse's Role emerged, followed by the subcategories, identify needs, caring, communicate, train, continuity of care, teamwork, care partnership, promoting standardization. Nurses identified the nature of the nursing role as a strong determinant to facilitate monitoring and intervention processes for adolescents with cystic fibrosis and their parents. Nursing therapeutics aim to promote, prevent, and effectively contribute to the development process and recovery of stability and well-being of adolescents with cystic fibrosis and their parents.
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Affiliation(s)
| | | | - Fernanda Carvalho
- Nursing Department, Escola Superior de Enfermagem do Porto, Porto, Portugal
| | - Elisabete Borges
- Nursing Department, Escola Superior de Enfermagem do Porto, Porto, Portugal
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Bech B, Lykkegaard JJ, Lundbak T, Schrøder HM, Birkeland LM, Schlyter ML, Hansen LH, Dalsgaard L, Esbensen BA. Patient-Initiated Follow-Up (PIFU) as reorganized support for increased patient involvement - focus group discussions among patients' with inflammatory arthritis. BMC Rheumatol 2020; 4:44. [PMID: 32613158 PMCID: PMC7325086 DOI: 10.1186/s41927-020-00143-6] [Citation(s) in RCA: 9] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/14/2020] [Accepted: 06/01/2020] [Indexed: 01/08/2023] Open
Abstract
Background Inflammatory Arthritis is characterized by lifelong medical treatment and an unpredictable trajectory because of the fluctuating nature of the diseases. Proactive disease management is recommended, which includes close monitoring of disease activity that traditionally has been ensured by outpatient visits to rheumatologists at various fixed intervals. Internationally, there is a growing interest in how healthcare systems can be more flexible, individual-oriented and increasingly involve patients with lifelong diseases in their own treatment and care. We aimed to explore how patients with Inflammatory Arthritis with low disease activity or remission (DAS-CRP < 2.9) experience patient involvement in a reorganized follow-up care based on flexibility and patient-initiated contact. Methods We conducted a qualitative study based on four mixed group discussions focused on patients with inflammatory arthritis (rheumatoid arthritis [n = 21], axial spondyloarthritis [n = 3] and psoriatic arthritis [n = 1]) participating in a reorganized follow-up care. Changes in follow-up included access to a nurse and patient-initiated follow-up (PIFU). The analysis was based on content analysis. The reporting adheres to the Consolidated Criteria for Reporting Qualitative Research (COREQ). Results In total, 25 patients (20 females (80%), mean age 61.8 [range 28–79]) participated. We identified three categories. 1) Patient-Initiated Follow-Up do not affect patients’ perceived support in disease control; this refers to patients’ experience of more time available through better resource utilization, as well as trust that access to professional support would be available whenever needed. The category 2) Information is valued by patients to delineate responsibilities in a new patient role reflects patients’ uncertainty in the transition to PIFU, combined with confusion about the distribution of responsibilities. 3) Patients need both extended perspectives of their arthritis and focused dialogue is about expanding patients’ understanding of their arthritis by interaction over time with both a rheumatologist and a rheumatology nurse in a focused dialogue to involve the patient. Conclusions Patients participating in PIFU welcome the flexibility and involvement. However, patients need relevant information to act adequately within a new patient role. Interaction with both rheumatologists and nurses, combined with sufficient time for dialogue, broaden patients’ perspective, make opportunities for action visible, and contribute to patients’ ability to participate in follow-up care.
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Affiliation(s)
- Bianca Bech
- Center for Rheumatology and Spine Diseases, Centre for Head and Orthopaedics, Rigshospitalet, Valdemar Hansens Vej 17, Indgang 5, stuen, 2600 Glostrup, Denmark.,Copenhagen Center for Arthritis Research (COPECARE), Center for Rheumatology and Spine Diseases, Centre of Head and Orthopaedics, Rigshospitalet, Glostrup, Denmark
| | - Jens Jørgen Lykkegaard
- Center for Rheumatology and Spine Diseases, Centre for Head and Orthopaedics, Rigshospitalet, Valdemar Hansens Vej 17, Indgang 5, stuen, 2600 Glostrup, Denmark
| | - Tine Lundbak
- Center for Rheumatology and Spine Diseases, Centre for Head and Orthopaedics, Rigshospitalet, Valdemar Hansens Vej 17, Indgang 5, stuen, 2600 Glostrup, Denmark
| | - Heidi Morsø Schrøder
- Center for Rheumatology and Spine Diseases, Centre for Head and Orthopaedics, Rigshospitalet, Valdemar Hansens Vej 17, Indgang 5, stuen, 2600 Glostrup, Denmark
| | - Line Mette Birkeland
- Center for Rheumatology and Spine Diseases, Centre for Head and Orthopaedics, Rigshospitalet, Valdemar Hansens Vej 17, Indgang 5, stuen, 2600 Glostrup, Denmark
| | - Mette Lund Schlyter
- Center for Rheumatology and Spine Diseases, Centre for Head and Orthopaedics, Rigshospitalet, Valdemar Hansens Vej 17, Indgang 5, stuen, 2600 Glostrup, Denmark
| | - Lotte Hanne Hansen
- Center for Rheumatology and Spine Diseases, Centre for Head and Orthopaedics, Rigshospitalet, Valdemar Hansens Vej 17, Indgang 5, stuen, 2600 Glostrup, Denmark
| | | | - Bente Appel Esbensen
- Copenhagen Center for Arthritis Research (COPECARE), Center for Rheumatology and Spine Diseases, Centre of Head and Orthopaedics, Rigshospitalet, Glostrup, Denmark.,Department of Clinical Medicine, Faculty of Health and Medical Sciences, University of Copenhagen, Copenhagen, Denmark
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Fakhr-Movahedi A, Rahnavard Z, Salsali M, Negarandeh R. Exploring Nurse's Communicative Role in Nurse-Patient Relations: A Qualitative Study. J Caring Sci 2016; 5:267-276. [PMID: 28032071 PMCID: PMC5187547 DOI: 10.15171/jcs.2016.028] [Citation(s) in RCA: 22] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/12/2015] [Accepted: 02/01/2016] [Indexed: 11/14/2022] Open
Abstract
Introduction: Recognition the nurses’ communicative roles
can influence quality of patient’s care. Therefore, this study was aimed to explore
nurse’s role in nurse-patient relations. Methods: This study was a qualitative research in which
collected data was analyzed by content analysis method. The participants were 23 nurses,
patients and their families in medical and surgical wards of a referral hospital in
Tehran, Iran. Data were collected by semi-structured interview and observation. Results: Data analysis was led to the emergence of a main
conceptual category: The patient's need-based communication. This category was derived
from two categories: 1) Identifying the patient’s needs; and 2) Communicative behavior in
the face of the patient’s needs. "Identifying the patient’s needs" was related to "type of
the patient’s problem", "patients’ inquiring about their health status" and "monitoring
the patient’s health status". "Communicative behavior in the face of the patient’s needs"
was composed of four subcategories: "caring attention", "informal education of the
patient", "inducing calmness to the patient", and "obtaining the trust of the
patient". Conclusion: The nurse’s role in relationship with patients
is designed according to patients’ needs. Therefore, if the patients’ needs in clinical
settings are defined and clarified appropriately, the nurse-patient relations will be
enhanced and thereby the quality of care will be improved.
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Affiliation(s)
- Ali Fakhr-Movahedi
- Department of Nursing, Nursing Care Research Center, Faculty of Nursing and Allied Health Sciences, Semnan University of Medical Sciences, Semnan, Iran
| | - Zahra Rahnavard
- Department of Nursing, Faculty of Nursing and Midwifery, Tehran University of Medical Sciences, Tehran, Iran
| | - Mahvash Salsali
- Department of Nursing, Faculty of Nursing and Midwifery, Tehran University of Medical Sciences, Tehran, Iran
| | - Reza Negarandeh
- Department of Nursing, Faculty of Nursing and Midwifery, Tehran University of Medical Sciences, Tehran, Iran
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Riisgaard H, Nexøe J, Le JV, Søndergaard J, Ledderer L. Relations between task delegation and job satisfaction in general practice: a systematic literature review. BMC Fam Pract 2016; 17:168. [PMID: 27899090 PMCID: PMC5129662 DOI: 10.1186/s12875-016-0565-1] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 06/23/2016] [Accepted: 11/18/2016] [Indexed: 12/02/2022]
Abstract
Background It has for years been discussed whether practice staff should be involved in patient care in general practice to a higher extent. The research concerning task delegation within general practice is generally increasing, but the literature focusing on its influence on general practitioners' and their staff’s job satisfaction appears to be sparse even though job satisfaction is acknowledged as an important factor associated with both patient satisfaction and medical quality of care. Therefore, the overall aim of this study was 1) to review the current research on the relation between task delegation and general practitioners' and their staff’s job satisfaction and, additionally, 2) to review the evidence of possible explanations for this relation. Methods A systematic literature review. We searched the four databases PubMed, Cinahl, Embase, and Scopus systematically. The immediate relevance of the retrieved articles was evaluated by title and abstract by the first author, and papers that seemed to meet the aim of the review were then fully read by first author and last author independently judging the eligibility of content. Results We included four studies in the review. They explored views and attitudes of the staff, encompassing nurses as well as practice managers. Only one of the included studies also explored general practitioners' views and attitudes, hence making it impossible to establish any syntheses on this relation. According to the studies, the staff’s overall attitude towards task delegation was positive and led to increased job satisfaction, probably because task delegation comprised a high degree of work autonomy. Conclusions The few studies included in our review suggest that task delegation within general practice may be seen by the staff as an overall positive issue contributing to their job satisfaction, primarily due to perceived autonomy in the work. However, because of the small sample size comprising only qualitative studies, and due to the heterogeneity of these studies, we cannot draw unambiguous conclusions although we point towards tendencies.
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Affiliation(s)
- Helle Riisgaard
- Research Unit of General Practice, Department of Public Health, University of Southern Denmark, J.B. Winsløws Vej 9A, 5000, Odense C, Denmark.
| | - Jørgen Nexøe
- Research Unit of General Practice, Department of Public Health, University of Southern Denmark, J.B. Winsløws Vej 9A, 5000, Odense C, Denmark
| | - Jette V Le
- Research Unit of General Practice, Department of Public Health, University of Southern Denmark, J.B. Winsløws Vej 9A, 5000, Odense C, Denmark
| | - Jens Søndergaard
- Research Unit of General Practice, Department of Public Health, University of Southern Denmark, J.B. Winsløws Vej 9A, 5000, Odense C, Denmark
| | - Loni Ledderer
- Section of Health Promotion and Health Services, Department of Public Health, Aarhus University, Bartholins Allé 2, building 1260, 225, 8000, Aarhus C, Denmark
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