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1
Freed, Patricia E., and Dorcas E. McLaughlin. "Promoting Cultures of Thinking: Transforming Nursing Education to Transform Nursing Practice." Creative Nursing 19, no. 4 (2013): 174–81. http://dx.doi.org/10.1891/1078-4535.19.4.174.
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Contemporary nursing education is highly invested in the development of the academic, critical, and empirical aspects of education that represent the science of nursing, and concomitantly less attentive to the development of the creative, interpersonal aspects of education typically associated with the art of nursing. This represents a reversal of historic patterns in nursing education, but the pendulum may have swung so far that there could be costs to nursing practice unless the creative, interpersonal aspects of education can be reclaimed and balanced. Ideas and suggestions regarding how nurse educators might foster the creation of cultures of thinking, which represent whole-brain, integrated teaching approaches that are based on emerging neurocognitive evidence, are discussed.
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Kim, Myoungsuk. "Factors Influencing Nursing Students’ Person-Centered Care." Medicina 56, no. 8 (August 16, 2020): 414. http://dx.doi.org/10.3390/medicina56080414.
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Background and objectives: Numerous theoretical and clinical advances have been made through research on person-centered care (PCC). Nevertheless, care is still focused on the medical aspects of treating patients’ diseases in Korea, and thus providing individualized PCC to patients tends to be neglected. This study aimed to investigate the relationship between PCC competence, empathic competence, interpersonal competence, and perceived stress to identify the factors that impact PCC competence for developing programs that foster PCC competence in nursing students. Materials and Methods: Data were collected from 149 participants, which comprised third- and fourth-year nursing students from two universities in Korea who have experienced clinical training. PCC competence, empathic competence, interpersonal competence, and perceived stress were measured using structured self-reported questionnaires. Results: PCC competence was positively correlated with empathic competence (p < 0.001) and interpersonal competence (p < 0.001), and negatively correlated with perceived stress (p < 0.001). Empathic competence, perceived stress, interpersonal competence, and satisfaction with the participants’ nursing major were identified as factors that influenced the PCC competence (adjusted R2 = 0.570). Conclusions: To enhance PCC competence in nursing students, empathic competence, interpersonal competence, and satisfaction with the participants’ nursing major need to be improved and perceived stress needs to be reduced.
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Lützén, Kim. "Nursing Ethics Into the Next Millennium: a context-sensitive approach for nursing ethics." Nursing Ethics 4, no. 3 (May 1997): 218–26. http://dx.doi.org/10.1177/096973309700400306.
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The aim of this article is to argue for the need for a context-sensitive approach to the understanding of ethical issues in nursing practice as we face the next millennium. This approach means that the idea of universalism must be questioned because ethics is an interpersonal activity, set in a specific context. This view is based on issues that arise in international collaborative research as well as in research focused on ethical problems in nursing practice. Moral values are indigenous to a particular culture and influence beliefs about health and illness as well as what priorities are to be made in providing health care. Nursing practice must include thoughtful reflection on the meaning of moral concepts and principles in terms of culture. Theoretical developments in nursing ethics must be based on empirical research focusing on contextual aspects of health care.
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McKie, Andrew. "‘The Demolition of a Man’: Lessons From holocaust literature for the teaching of nursing ethics." Nursing Ethics 11, no. 2 (March 2004): 138–49. http://dx.doi.org/10.1191/0969733004ne679oa.
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The events of the Holocaust of European Jews (and others) by the Nazi state between 1939 and 1945 deserve to be remembered and studied by the nursing profession. By approaching literary texts written by Holocaust ‘survivors’ from an interpersonal dimension, a reading of such works can develop an ‘ethic of responsibility’. By focusing on such themes as rationality, duty, witness and the virtues, potential lessons for nurses working with people in a variety of settings can be drawn. Implications for the teaching of nursing ethics are made in the areas of the virtues, relationships, professional ethics and the moral community of nursing.
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Su, Jing Jing, Golden Mwakibo Masika, Jenniffer Torralba Paguio, and Sharon R. Redding. "Defining compassionate nursing care." Nursing Ethics 27, no. 2 (July 8, 2019): 480–93. http://dx.doi.org/10.1177/0969733019851546.
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Background: Compassion has long been advocated as a fundamental element in nursing practice and education. However, defining and translating compassion into caring practice by nursing students who are new to the clinical practice environment as part of their educational journey remain unclear. Objectives: The aim of this study was to explore how Chinese baccalaureate nursing students define and characterize compassionate care as they participate in their clinical practice. Methods: A descriptive qualitative study design was used involving a semi-structured in-depth interview method and qualitative content analysis. Twenty senior year baccalaureate nursing students were interviewed during their clinical practicum experience at four teaching hospitals. Ethical considerations: Permission to conduct the study was received from the Institutional Review Boards and the participating hospitals. Results: Baccalaureate nursing students defined and characterized compassionate care as a union of “empathy” related to a nurse’s desire to “alleviate patients’ suffering,” “address individualized care needs,” “use therapeutic communication,” and “promote mutual benefits with patients.” Students recognized that the “practice environment” was characterized by nurse leaders’ interpersonal relations, role modeling by nurses and workloads which influenced the practice of compassionate care by nursing personnel. Conclusion: Compassionate care is crucial for patients, nurses, and students in their professional development as well as the development of the nursing profession. In order to provide compassionate care, a positive practice environment promoted by hospital administrators is needed. This also includes having an adequate workforce of nurses who can role model compassionate care to students in their preceptor role while meeting the needs of their patients.
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Mendes, Isabel Amélia Costa, Maria Auxiliadora Trevizan, Mirella Castelhano Souza, Valtuir Duarte Souza-Junior, Simone de Godoy, Carla Aparecida Arena Ventura, and Sara Soares dos Santos. "Empathic profile of nursing freshmen." Nursing Ethics 26, no. 7-8 (July 15, 2018): 2298–305. http://dx.doi.org/10.1177/0969733018780532.
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Objective: To analyze the empathic profile and the empathy scores of freshmen of the nursing course. Design and participants: Descriptive study involving 399 freshmen students of two modalities of nursing courses: Bachelor and Bachelor and Teaching Diploma, in the period from 2012 to 2015. A sociodemographic questionnaire and the Empathy Inventory were applied. Ethical considerations: The research received approval from the Research Ethics Committee of the University of São Paulo at Ribeirão Preto College of Nursing. The students registered their acceptance to participate in the research by signing the Free and Informed Consent Form and anonymity was guaranteed. Findings: The mean age of the participants was 19 years, being 85.5% female. The students were grouped by course modality and all groups presented high empathy scores. A significant difference (p < 0.001) was found, which indicates that students of the Bachelor and Teaching Diploma program presented a higher degree of empathy for the General Score, Domain 2 (Interpersonal Flexibility), and Domain 3 (Altruism) in relation to students in the Bachelor program. Conclusion: Results show that nursing undergraduate freshmen are emphatic, with minimum differences between the two courses. This profile is relevant for the development of future professionals capable to demonstrate a balance between instrumental and expressive competences.
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Comrie, Rhonda W. "An analysis of undergraduate and graduate student nurses’ moral sensitivity." Nursing Ethics 19, no. 1 (December 19, 2011): 116–27. http://dx.doi.org/10.1177/0969733011411399.
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This study describes the level of moral sensitivity among nursing students enrolled in a traditional baccalaureate nursing program and a master’s nursing program. Survey responses to the Modified Moral Sensitivity Questionnaire for Student Nurses from 250 junior, senior, and graduate students from one nursing school were analyzed. It was not possible to draw conclusions based on the tool. Moral category analysis showed students ranked the category structuring moral meaning highest and interpersonal orientation second. The moral issue ranking highest was honesty, respect for the patient second, and third was responsibility to know the patient’s situation. Seniors agreed more often about the need to focus on patient safety. As students progress through the baccalaureate program and into the graduate program, their perspectives increasingly recognize the contextuality of moral issues. The results show a need to further develop a tool to measure moral sensitivity, using student understanding and perceptions of moral issues.
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Tajabadi, Ali, Fazlollah Ahmadi, Afsaneh Sadooghi Asl, and Mojtaba Vaismoradi. "Unsafe nursing documentation: A qualitative content analysis." Nursing Ethics 27, no. 5 (September 2, 2019): 1213–24. http://dx.doi.org/10.1177/0969733019871682.
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Background Nursing documentation as a pivotal part of nursing care has many implications for patient care in terms of safety and ethics. Objectives To explore factors influencing nursing documentation from nurses’ perspectives in the Iranian nursing context. Methods This qualitative study was carried out using a qualitative content analysis of data collected from 2018 to 2019 in two urban areas of Iran. Semi-structured interviews (n = 15), observations, and reviews of patients’ medical files were used for data collection. Ethical considerations This study was conducted in accordance with the ethical principles of research and regulations in terms of confidentiality of data, anonymity, and provision of informed consent. Findings The main theme of this study was “unsafe documentation.” Two categories, “types of errors in reporting” and “reasons of errors in reporting,” and 12 subcategories were developed indicating factors influencing nursing documentation in the Iranian nursing context. Conclusion In general, individual, organizational, and national factors affected nursing documentation in Iran. In this respect, hiring more nurses, application of reforms in the healthcare management structure, devising appropriate regulations regarding division of labor, constant education of healthcare staff, establishment of clinical governance, improvement of interpersonal relationships, development of hardware and software techniques for documentation, and provision of support should be done to improve the quality of nursing documentation. The above-mentioned suggestions can help nurses with a safe, ethical, lawful, and reliable documentation in nursing practice.
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Sivberg, Bengt, and Kerstin Petersson. "Self-Image, Self-Values and Interpersonal Values Among Newly Graduated Nurses." Nursing Ethics 4, no. 5 (September 1997): 407–23. http://dx.doi.org/10.1177/096973309700400507.
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This longitudinal study (1994-1996) used the Gordon Personality Inventory to measure nursing students’ self-image (Gordon A), self-values (Gordon B) and interpersonal values (Gordon C). It was performed with students from three colleges of health in the south of Sweden: Jönköping ( n = 54), Växjö ( n = 24) and Kristianstad ( n = 38). The null hypothesis of the study was that the new academic three-year programme did not have the power to change significantly the students’ self-image and professional values. The hypothesis was tested by paired sample Student’s t-test. The result was that, at Jönköping, self-image changed and increased significantly in the dimensions of ‘cautiousness’ and ‘personal relations’, and decreased in ‘sociability’, and increased in the self-value ‘order’. At Växjö the self-image dimensions of ‘original thinking’ and ‘personal relations’ increased, and, at Kristianstad, the students increased their self-image scores in ‘responsibility’.
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Pajnkihar, Majda. "Nurses' (Un)Partner-Like Relationships With Clients." Nursing Ethics 16, no. 1 (January 2009): 43–56. http://dx.doi.org/10.1177/0969733008097989.
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The aim of a previous study was to describe nursing in Slovenia generally, and to identify the most appropriate nursing model for that country. One specific finding was the issue of partner-like relationships; this article deals with that issue only. An interpretive paradigm and qualitative research design were used with a modified grounded theory approach. Interviews were carried out with selected nursing leaders ( n = 24) and other professionals ( n = 6) in order to draw on their knowledge and experience to describe the reality of nursing phenomena. The results of this research suggest that participants wish to use a theory that emphasizes clients and treats them as equal partners in nursing, promotes health, and rests on interpersonal relationships. The participants described the missing or obscure parts in nursing and their own beliefs and values about human beings and nursing. Descriptions of and the need for partner-like relationships, and the specific elements of such relationships, were of main concern. The participants argued that nurses need high quality and continuing education to ensure competent nursing practice. The indication is that Slovenia should move to graduate and undergraduate nurse education to foster expert reflective practice in order to abolish routinized care carried out in a hierarchical system.
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Kerns, Robert. "Psychosocial Aspects of Pain." International Journal of MS Care 2, no. 4 (December 1, 2000): 37–42. http://dx.doi.org/10.7224/1537-2073-2.4.37.
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Abstract The high prevalence of pain associated with MS is increasingly well documented. Although MS-related pain may be managed satisfactorily with pharmacologic and other medical interventions, many individuals still suffer from persistent pain. A multidimensional model of chronic pain may be applicable for MS-related pain in these circumstances. This model encourages specific attention to identification and treatment of the source of pain and efforts to provide pain relief, but also encourages assessment and a treatment plan targeting associated disability and emotional distress. The model further encourages attention to numerous psychological and interpersonal contributors to the experience of pain, disability, and distress. Psychological interventions, often provided in the context of a multidisciplinary treatment approach, are particularly encouraged. Additional research is needed to increase understanding of the role of psychosocial factors in the perpetuation of MS-related pain and to examine the effectiveness of psychological treatment approaches in the development of optimum pain management strategies.
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Hanssen, Ingrid, Inger Lise Smith Jacobsen, and Sisilie Havnås Skråmm. "Non-technical skills in operating room nursing: Ethical aspects." Nursing Ethics 27, no. 5 (April 29, 2020): 1364–72. http://dx.doi.org/10.1177/0969733020914376.
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Background Non-technical skills are cognitive and interpersonal skills underpinning technical proficiency. Ethical values and respect for human dignity make operating room nurses responsible for nursing decisions that are clinically and technically sound and morally appropriate. Aim To learn what ethical issues operating room nurses perceive as important regarding non-technical skills. Research design Qualitative individual in-depth interviews were conducted. The interviews were analysed using Braun and Clarke’s six phases for thematic analysis. Participants and research context Eleven experienced perioperative/operating room nurses working in an operating unit at a Norwegian university hospital. Ethical considerations Approval was given by The Norwegian Social Science Data Service in care of the hospital’s Data Protection Officer. Findings Three main themes were found: respect and care for the patient, making the patient feel safe, and respect within the perioperative team. These features or themes, which incorporate collaboration and communication, are closely connected to patient safety. Discussion Defending the patient’s dignity is part of caring for and respecting the patient. The manner in which the operating room team collaborates is important for the patient to feel safe and secure. Poor teamwork may have dire consequences. Reciprocal respect within the team includes respect for each other’s tasks and responsibilities and to talk to one another in a friendly manner. Conclusion Being respectful and contributing to a caring atmosphere are central ethical skills in the operating room. To patients, harmonious teamwork translates into a feeling of safety and being cared for. The nurses see respect and patient safety, and respect and reciprocal politeness among the members of the perioperative team as central ethical non-technical skills. Lack of respect influences the team negatively and is detrimental for patient safety. Good communication is an important safety measure during surgery and creates a feeling of good ‘flow’ within the operating room team.
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Eide, Phyllis, and David Kahn. "Ethical Issues in the Qualitative Researcher—Participant Relationship." Nursing Ethics 15, no. 2 (March 2008): 199–207. http://dx.doi.org/10.1177/0969733007086018.
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Qualitative research poses ethical issues and challenges unique to the study of human beings. In developing the interpersonal relationship that is critical to qualitative research, investigator and participant engage in a dialogic process that often evokes stories and memories that are remembered and reconstituted in ways that otherwise would not occur. Ethical issues are raised when this relationship not only provides qualitative research data, but also leads to some degree of therapeutic interaction for the participant. The purpose of this article is to examine some of the controversies inherent in the researcher's dilemma when this occurs, set within the context of a nursing caring theory (Swanson), and the International Council of Nurses Code of ethics for nurses, which provides guidance on global nursing practice.
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Younas, Ahtisham. "Relational inquiry approach for developing deeper awareness of patient suffering." Nursing Ethics 27, no. 4 (April 6, 2020): 935–45. http://dx.doi.org/10.1177/0969733020912523.
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To practice compassion, the recognition, understanding, and alleviation of patient suffering are of utmost importance. Nursing literature provides ample guidance about the nature and meaning and patients’ views about compassion and physical and psychological suffering. However, missing is the discussion about how nurses can achieve a deeper awareness of patients’ suffering to practice compassion. This paper aims to describe the relational inquiry nursing approach and illustrate how this approach can enable nurses to develop a deeper awareness of patient suffering. The relational inquiry approach encompasses two components: a relational consciousness and inquiry as a form of action. Relational consciousness requires the nurses to focus on the concrete situations and relationships as well as recognize the intrapersonal, interpersonal, and contextual factors affecting the situations. The interpersonal factors are among and between the individuals, intrapersonal factors are within the individuals, and contextual factors are the hidden factors influencing the individuals and situations. Inquiry as an action requires a critical analysis of the experiences of individuals, situational contexts, and knowledge to inform the nursing care modalities and actions. This approach encourages nurses to use the philosophies of hermeneutic phenomenology, critical theory, and pragmatism. The phenomenological worldview allows nurses to interpret their own and patients’ experiences, the critical theory worldview allows nurses to examine the influence of social and cultural factors, and pragmatism allows nurses to question their prior knowledge and develop new knowledge in each situation. The relational inquiry approach allows nurses to develop a deeper understanding of patient suffering through building a therapeutic and trustworthy relationship, active listening, focusing on the details, and engaging in broad and situations specific inquiries to understand the patient narrative of suffering. Two case exemplars are shared to demonstrate how relational inquiry allowed nurses to move beyond recognizing physical suffering and understand patients’ emotional and psychological suffering.
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Kilpatrick, Dean G. "Interpersonal Violence and Public Policy: What about the Victims?" Journal of Law, Medicine & Ethics 32, no. 1 (2004): 73–81. http://dx.doi.org/10.1111/j.1748-720x.2004.tb00463.x.
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Violence is an extremely prevalent problem in the United States and throughout the world, and it is a major contributing factor to increased mortality and mortalityty. These facts are well documented in the recent Report on violence and Health published by the World Health Organization. This report, which is likely to become a landmark document in the public health community, defines violence broadly as: The intentional use of physical force or power, threatened or actual, against oneself, another person, or against a group or community, that either results in or has a high likelihood of resulting in injury, death, psychological harm, maldevelopment or deprivation. This World Health Organization definition encompasses three types of violence: 1) suicide and selfharm, 2) collective violence, and 3) interpersonal violence.Interpersonal violence is defined asviolence inflicted by an individual or small group of individuals and includes youth violence, violence between intimate partners, other forms of family violence such as abuse of children and the elderly, rape and sexual assault by strangers, and violence in institutional settings such as schools, workplaces, nursing homes and prisons.
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Hariyati, Rr Tutik Sri, Krisna Yetti Malawat, and Kartika Mawar Sari. "Nursing managers' strategies for reducing interpersonal and interprofessional conflicts in the Covid-19 Pandemic." International Journal of Nursing and Health Services (IJNHS) 3, no. 6 (December 22, 2020): 716–21. http://dx.doi.org/10.35654/ijnhs.v3i6.403.
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The COVID-19 pandemic is a challenge for all parties and needs a fast, precise and integrated response. Nurses as the frontline are the people most at risk of contracting this disease. Changes in all aspects require that nurses can collaborate with other interprofessional teams and makes nurses vulnerable to pressure and stress that can lead to conflict. The role of nursing managers in creating a conducive work atmosphere and preventing interprofessional conflicts is needed. This study used literature reviews through the ScienceDirect online database, SAGE journals, Wiley Online Library and other sources, which aims to analyze the strategy of nurse managers in preventing interprofessional conflicts in the era of the COVID-19 pandemic. The results show that providing education on the control and prevention of COVID-19 infection, supervision, improving effective communication through information technology, optimizing workflows, improving nursing standards, providing support and implementing crisis management are strategies that can be used by nurse managers. Assertiveness can be used as conflict management to prevent interprofessional conflicts in the pandemic era. Each profession can communicate positively with other interprofessional teams, accept each other and carry out professional responsibility and making decisions about COVID-19 patients.
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Fernandes de Aguiar, Daniele, Marluci Andrade Conceição-Stipp, Joséte Luzia Leite, Valéria Zadra de Mattos, and Karla Biancha Silva de Andrade. "Nursing Administration: Aspects that Can Facilitate and Hinder Care in a Coronary Unit." Aquichan 10, no. 2 (August 1, 2010): 115–31. http://dx.doi.org/10.5294/aqui.2010.10.2.2.
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La asistencia de enfermería en la Unidad Coranariana requiere un equipo de cuidados de salud especializado, equipamientos de alta tecnología y un liderazgo atento a las facilidades y dificultades diarias del cuidado de enfermería. Objetivo: discutir los aspectos que facilitan y dificultan la administración de enfermería en la unidad coronariana. Métodos: se realizó una investigación bibliográfica en la base de datos SciELO y recolección de datos, utilizando un plan de entrevista semiestructurada con 6 enfermeras líderes del sector de la unidad coronaria del Hospital Universitario de la Universidad Federal de Río de Janeiro. Resultados: acerca de los aspectos que facilitan la administración de enfermería, los estudios seleccionados y las enfermeras apuntaron factores objetivos y subjetivos, respectivamente, como el uso de instrumentos de la distribución del equipo y la buena comunicación y relación interpersonal. Sobre los aspectos que la dificultan, han señalado la mecanización de la enfermera, la complejidad de una unidad de cuidados críticos y la escasez de recursos materiales. Conclusiones: es deber de la administración de enfermería identificar estos factores, para permitir mejor desempeño de los profesionales y, en consecuencia, asistencia más eficaz y segura para los pacientes y sus familias.
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Neves, Heliny Carneiro Cunha, Adenícia Custódia Silva e. Souza, Marcelo Medeiros, Denize Bouttelet Munari, Luana Cássia Miranda Ribeiro, and Anaclara Ferreira Veiga Tipple. "Safety of nursing staff and determinants of adherence to personal protective equipment." Revista Latino-Americana de Enfermagem 19, no. 2 (April 2011): 354–61. http://dx.doi.org/10.1590/s0104-11692011000200018.
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A qualitative study conducted in a teaching hospital with 15 nursing professionals. Attempted to analyze the reasons, attitudes and beliefs of nursing staff regarding adherence to personal protective equipment. Data were collected through focus groups, analyzed by the method of interpretation of meanings, considering Rosenstock’s model of health beliefs as a reference framework. Data revealed two themes: Occupational safety and Interpersonal Relationship. We identified several barriers that interfere in matters of safety and personal protective equipment, such as communication, work overload, physical structure, accessibility of protective equipment and organizational and management aspects. Adherence to personal protective equipment is determined by the context experienced in the workplace, as well as by individual values and beliefs, but the decision to use the personal protective equipment is individual.
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Diaz Rodríguez, Mercedes, Lucía Alcántara Rubio, David Aguilar Garcia, Esther Puertas Cristobal, and Mercedes Cano Valero. "Orientaciones formativas para un cuidado humanizado en enfermería: una revisión integrativa de la literatura." Enfermería Global 19, no. 2 (March 15, 2020): 640–72. http://dx.doi.org/10.6018/eglobal.392321.
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Introducción: La comunicación y la relación interpersonal son los elementos más esenciales para un cuidado humanizado. El establecimiento de una relación más allá de la atención física a través de la humanización de las acciones en el plan de cuidados, favorece el proceso de recuperación; sin embargo, tanto en la formación como en la práctica enfermera se mantiene la inercia de un enfoque técnico y neopositivista, dejando de lado tales aspectos.Objetivo: Aportar conocimientos más específicos sobre la importancia de situar y orientar los cuidados de la enfermería desde una proyección biopsicosocial, con un enfoque humanizado, poniendo especial énfasis en las competencias comunicativas y relaciones interpersonales como elementos esenciales.Metodología: Revisión bibliográfica integrativa, con análisis crítico de la literatura consultada, que incluye artículos originales y de revisión publicados en castellano, portugués e inglés de 2013 a 2018. Para la búsqueda se han consultado las bases de datos SciELO, MEDLINE/Pubmed, Web of Science y CUIDEN. Resultados: Se han extraído cuatro categorías de análisis que dan como resultado 1) las habilidades comunicativas y emocionales como elementos esenciales del cuidado humanizado, 2) la necesaria capacitación emocional y comunicativa en la formación de enfermería, 3) otros factores que contribuyen a un cuidado humanizado y 4) cambios metodológicos y recursos pedagógicos para la capacitación comunicativa y emocional de docentes, alumnado y profesionales de enfermería. Conclusiones: Se reclama la necesidad de incorporar, de manera más pedagógica y profunda, programas formativos en competencias emocionales y de comunicación en enfermería para un cuidado humanizado. Introduction: Communication and interpersonal relationships are the most essential elements of humanised care. The process of recovery is fostered by establishing relationships outside of physical care through the humanisation of actions in the care plan. However, in both nursing training and nursing practice, the inertia of a technical and neo-positivist approach persists and such aspects are therefore neglected.Objective: To provide more specific knowledge on the importance of considering nursing care from a biopsychosocial perspective, with a humanised approach, placing special emphasis on communicative skills and interpersonal relationships as essential elements.Methods: An integrative literature review, with a critical analysis of the literature consulted, including original articles and reviews published in Spanish, Portuguese, and English from 2013 to 2018. The SciELO, MEDLINE/PubMed, Web of Science, and CUIDEN databases were searched.Results: The following four categories emerged from this analysis: 1) communicative and emotional skills as essential elements of humanised care; 2) the necessary emotional and communicative training in nursing education; 3) other factors contributing to humanised care; and 4) methodological changes and pedagogical resources for the communicative and emotional training of lecturers, students, and nursing professionals.Conclusions: There is a need to develop, in a more pedagogical and profound way, training programmes in nursing on emotional skills and communication for humanised care.
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Falzarano, Francesca, M. Cary Reid, Leslie Schultz, and Karl Pillemer. "Interpersonal Relationships in Assisted Living: Findings From a Survey of Family Members and Staff." Innovation in Aging 4, Supplement_1 (December 1, 2020): 383–84. http://dx.doi.org/10.1093/geroni/igaa057.1235.
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Abstract In recent decades, assisted living facilities (ALFs) have grown dramatically as an alternative to nursing homes. Research in nursing homes has shed light on the nature of the relationships that exist between family members and staff. However, little is known about family-staff relations within ALFs. We present data from the first study to describe the prevalence of conflict and positive and negative family-staff interactions in ALFs and to examine whether positive and negative aspects of the relationship contribute to salient staff and family outcomes. We use data collected from 252 family members and 472 staff members across 20 ALFs from the Partners in Care in Assisted Living (PICAL) study. Participants completed measures including interpersonal conflict, depression, perception of treatment, and stress-related to caregiving. Results showed that conflict among family and staff members is relatively low in ALFs. For staff, interpersonal conflict and treatment by family members significantly predicted burnout and depression. For families, only gender significantly predicted burden. Subgroup analyses, however, indicated that the effect of interpersonal conflict was significantly associated with perceived caregiver burden among family members whose relative has dementia. Despite the relatively harmonious relationships identified among family members and staff in ALFs, sources of conflict and negative interactions were identified, revealing the influence these relationships have on both family and staff outcomes. These findings can inform intervention efforts targeting family-staff interactions within ALFs.
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Matsushita, Hironobu, Paul Lillrank, and Kaori Ichikawa. "Human Competency as a Catalyzer of Innovation Within Health and Nursing Care Through a Perspective of Complex Adaptive Systems." International Journal of Knowledge and Systems Science 9, no. 4 (October 2018): 1–15. http://dx.doi.org/10.4018/ijkss.2018100101.
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The aim of this article is to analyze some features of nursing manager competencies as a potential agent of innovation through a perspective of complex adaptive systems. To achieve the objective, an empirical quantitative analysis of the data obtained through structured questionnaires was conducted to identify the key aspects of perceptions related to competencies. The results demonstrated a disparity between what nursing managers perceived as “my strength” and what they perceived as “critical in adopting innovation” with respect to competencies. This study empirically identified key competencies relevant to nursing managers in adopting innovation through a perspective of encompassing complex adaptive systems. The nursing managers surveyed tended to consider their strengths included interpersonal understanding, teamwork, self-control and concern for order. From a viewpoint of innovation adoption, there is room for improvement for nurses to develop such competencies as initiative, team leadership, conceptual thinking, analytical thinking, and organizational awareness.
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Henderson, Elizabeth, and Barbara J. Guthrie. "Conceptualizing Suicidal Ideation Among Firefighters Through the Lens of an Integrated Theoretical Model." Nursing Science Quarterly 34, no. 3 (July 2021): 294–300. http://dx.doi.org/10.1177/08943184211010453.
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Suicide is the 10th leading cause of death in the United States and is a major concern among professional American firefighters, with rates for suicidal ideation in firefighters two times higher than rates in the general population. The Neuman systems model integrated with the interpersonal-psychological theory of suicide provides a better understanding of the specific occupational and cultural aspects of firefighting that lead to a greater risk for suicidal ideation. This model provides an innovative lens that can inform the development and the implementation of interventions aimed at preventing suicidal ideation among firefighters.
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Silva-Costa, Aline, Pollyana C. S. Ferreira, Rosane H. Griep, and Lucia Rotenberg. "Association between Presenteeism, Psychosocial Aspects of Work and Common Mental Disorders among Nursing Personnel." International Journal of Environmental Research and Public Health 17, no. 18 (September 16, 2020): 6758. http://dx.doi.org/10.3390/ijerph17186758.
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Presenteeism is the term used to describe going in to work even with a health problem. The phenomenon has been identified as one prior factor in sickness absence and, accordingly, the better it is understood, the better will be the prevention strategies. This study aimed to examine the mediating role of presenteeism (the ability to concentrate on work and to complete work despite a health problem) in the association between psychosocial factors at work and common mental disorders (CMD). This cross-sectional study included 1218 nursing personnel at a public hospital in Brazil. Structural equation modelling was performed. The sample comprised mostly women (85.4%), and the mean age was 44.1 (SD = 11.3; range: 24–70) years. Prevalence of presenteeism was 32.8%. Among presenteeist workers (n = 400), a relationship was observed between presenteeism and higher CMD scores. Furthermore, being able to concentrate on work even with a health problem mediated the relationship between social support and CMD and between psychological demands and CMD. Working when sick impairs both the work and the worker’s health. Interventions designed to improve working conditions and interpersonal relations can be effective strategies against presenteeism.
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Falzarano, Francesca, M. Carrington Reid, Leslie Schultz, Rhoda H. Meador, and Karl Pillemer. "Getting Along in Assisted Living: Quality of Relationships Between Family Members and Staff." Gerontologist 60, no. 8 (July 2, 2020): 1445–55. http://dx.doi.org/10.1093/geront/gnaa057.
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Abstract Background and Objectives Assisted living facilities (ALFs) have quickly expanded as an alternative to nursing homes. Research on nursing homes has revealed problems in relationships between family members and staff. However, little is known about these relationships within ALFs. The purpose of the current study was to examine the prevalence of conflict and positive and negative interactions from the perspective of both family members and staff and to examine the effects of positive and negative aspects of the relationship on salient staff and family outcomes in ALFs. Research Design and Methods Data were collected from 252 family members and 472 staff members across 20 ALFs who participated in the Partners in Care in Assisted Living study. Participants completed measures including interpersonal conflict, depressive symptoms, perception of treatment, and stress related to caregiving. Results Conflict among family and staff members was found to be relatively low. For staff, interpersonal conflict and treatment by family members significantly predicted burnout and depressive symptoms. For families, only female gender significantly predicted burden. Subgroup analyses, however, indicated that the effect of interpersonal conflict was significantly associated with perceived caregiver burden among family members whose relative had dementia. Discussion and Implications Despite the relatively harmonious relationships among family–staff in ALFs, sources of conflict and negative interactions were identified, revealing the importance of collaborative relationships and the influence these relationships have on both family and staff outcomes. These findings can inform intervention efforts to improve family–staff interactions within ALFs.
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Da Silva Sousa, Antonny Michael, Mikaelly Pinheiro Garcia, Eveline Menezes Caçote Barbosa, Loren Rebeca Anselmo do Nascimento, Rayner Augusto Libório dos Santos Monteiro, and Graciana De Sousa Lopes. "Aspects Related to Nurse Leadership in Several Places of Action: Literature Review." International Journal for Innovation Education and Research 8, no. 9 (September 1, 2020): 404–15. http://dx.doi.org/10.31686/ijier.vol8.iss9.2653.
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It is an integrative review in order to analyze aspects related to the leadership of nurses in the last ten years. The search was carried out from July to August 2019 in Portuguese, English and Spanish. LILACS, BDENF and SCIELO were used as database. For the selection of articles, the descriptors “Perception”, “Leadership” and “Nursing” were combined, of which 46 met the inclusion and exclusion criteria, which were analyzed using a Preferred Reporting Items for Systematic Review and Meta-Analyzes checklist - PRISM. As a result, 23 articles were included for the discussion of the theme from four categories: Perception about Leadership, Challenges faced; Communication in interpersonal relationships and Professional qualification. It is noticed that, still, the need to reflect on the work process of nurses so that they have the necessary conditions to deepen their scientific research, developing safe and quality care and a management committed to professional and social valorization.
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Vasiloglou, Fletcher, and Poulia. "Challenges and Perspectives in Nutritional Counselling and Nursing: A Narrative Review." Journal of Clinical Medicine 8, no. 9 (September 18, 2019): 1489. http://dx.doi.org/10.3390/jcm8091489.
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Nutritional counselling has been recognised as the first line approach in the management of numerous chronic diseases. Though usually carried out by dietitians, nutritional counselling may be used by nurses, or other healthcare professionals to improve nutritional status and meet healthcare goals. Healthcare professionals require training and education to facilitate a patient centred approach to effective counselling. Advances in digital technology have the potential to improve access to nutritional counselling for some patients such as those in primary care. However, caution is required to ensure that valuable interpersonal relationships are not lost, as these form the cornerstone of effective nutritional counselling. The aim of this narrative review is to explore aspects of effective nutritional counselling, including advances in e-counselling and areas where nursing input in nutritional counselling might enhance overall nutritional care.
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Long, Ann, and Eamonn Slevin. "Living with Dementia: Communicating with an Older Person and Her Family." Nursing Ethics 6, no. 1 (January 1999): 23–36. http://dx.doi.org/10.1177/096973309900600104.
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This article is designed to explore and examine the key components of communication that emerged during the interactional analysis of a role play that took place in the classroom. The ‘actors’ were nurses who perceived the interaction to reflect an everyday encounter in a hospital ward. Permission to tape the interaction was sought and given by all persons involved. The principal ‘players’ in the scenario were: the patient, a 70-year-old-woman who had been admitted with dementia, her son and daughter, and the nurse in charge of the ward. The fundamental dynamics of the use of power and restriction, truth telling, family stress, interpersonal conflict, ageism, sexism, empathy and humanism surfaced during the analysis. The findings show that therapeutic communication should be the foundation on which nursing should stand. The article continues with an exploration of the theoretical frameworks that guided the analysis of interaction and concludes by suggesting tentatively some meaningful implications for nursing practice. It plans to furnish provocative new insights into the sometimes covert communication dynamics occurring within the nurse-patient relationship. Finally, it aims to generate discussion on this little-charted realm of human social interaction.
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Choi, Sun Yeob. "Concept Analysis of Emotional Intelligence in Nursing." Journal of Korean Academy of Fundamentals of Nursing 28, no. 2 (May 31, 2021): 263–74. http://dx.doi.org/10.7739/jkafn.2021.28.2.263.
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Purpose: This study was done to clarify and analyze the concept of emotional intelligence in Nursing.Methods: Using the framework of Walker and Avant’s concept analysis, 60 articles on emotional intelligence were selected for this study.Results: Emotional intelligence was defined as aspects of individual recognition of emotion and relational activities of emotion. The attributes of emotional intelligence are competency to be aware, regulate, express and use nurses’ own and patients’ emotions in a therapeutic manner. The antecedents of emotional intelligence include meeting with patients, cognitive ability, empathy, modulating emotion and interpersonal skills. Consequences of emotional intelligence are forming relationship between nurse and patients, personal growth, achievement in workplace, high job satisfaction, low burnout and high quality of nursing care. The concept was clarified by presentation of model, borderline, contrary and related cases.Conclusion: This study is meaningful in that the concept and attributes of emotional intelligence are identified in the nursing area by reflecting the characteristic and the purpose of nursing. In addition, based on the results of this study, development of standardized tools to measure emotional intelligence and development of educational programs to enhance nurses’ emotional intelligence are recommended.
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Clements, Paul Thomas, Karyn E. Holt, Catherine M. Hasson, and Theresa Fay-Hillier. "Enhancing assessment of interpersonal violence (IPV) pregnancy-related homicide risk within nursing curricula." Journal of Forensic Nursing 7, no. 4 (December 2011): 195–202. http://dx.doi.org/10.1111/j.1939-3938.2011.01119.x.
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Mousazadeh, Somayeh, Shahrzad Yektatalab, Marzieh Momennasab, and Soroor Parvizy. "Impediments to the formation of intensive care nurses' professional identify." Nursing Ethics 26, no. 6 (August 21, 2018): 1873–85. http://dx.doi.org/10.1177/0969733018786059.
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Background: Nurses face challenges regarding professional identify. Being unaware of these challenges and not owning positive professional identify leads to a lack of self-confidence. Thus, nurses face problems in interpersonal communication and lose their attachment to their profession. Few studies have engaged with impediments to forming positive professional identity in relation to intensive care nurses. Objective: The purpose of this study is to investigate the impediments to forming positive professional identity in nurses working in intensive care unit. Research design: In this study, the conventional content analysis method was used in order to obtain the impediments to forming positive professional identities in nurses. Data were collected through 15 semi-structured interviews and 2 focus group interviews from March 2015 to June 2016. Purposive sampling was used and participants were recruited until data saturation was reached; they were then analyzed using the conventional content analysis method. Participants and research context: In total, 24 intensive care unit nurses from one hospital in Northern Iran were selected through purposive sampling. Ethical consideration: This study was approved by the Ethics Committee of Shiraz University of Medical Sciences. Findings: Four main themes of professional identity challenges were extracted from the analysis of the data: neglect of professional status of nursing; distrust of nursing knowledge; unprofessional performance; and low professional attraction. Discussion and conclusion: Nurses stated that the neglect of the professional status of nursing and distrust of nursing knowledge have always been a hindrance in forming a positive professional identity. They also mentioned that unprofessional performance and low professional attraction are the other influencing factors in this regard. Thus, detecting these factors can guide nurses and their managers towards creating positive professional identity, and as a result, will improve their job satisfaction, professional advancement, and durability.
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Messner, Roberta, Sylvia Gardner, and Susan Lewis. "Crohn's Disease — More Than a Chronic Illness." Occupational Health Nursing 33, no. 12 (December 1985): 604–9. http://dx.doi.org/10.1177/216507998503301205.
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Crohn's disease is a chronic, inflammatory bowel disease which may occur in single or multiple areas of the entire GI tract from the mouth to the anus. This multifaceted disorder is manifested by various unpredictable health disturbances, affecting its victims' physical and psychosocial well-being. Individuals with Crohn's disease present a multitude of nursing challenges as they often lack the positive effects of proper nutrition, physical activity, emotional expression, interpersonal relationships, and family life. Nurses are the primary care providers who can comprehensively address the varied and complex health care needs of individuals with Crohn's disease. The core theme is the belief that it is essential for these individuals to maintain a sense of control in the midst of an altered lifestyle. Occupational health nurses can assist employees with Crohn's disease to develop a variety of physical and psychosocial strategies to cope with the unpleasant, even repugnant, aspects of a disease for which there is no known cure. The promotion of optimal health, based on the nursing process, is the objective toward which the unique efforts of nursing are directed.
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Trobec, Irena, and Andreja Istenic Starcic. "Developing nursing ethical competences online versus in the traditional classroom." Nursing Ethics 22, no. 3 (June 10, 2014): 352–66. http://dx.doi.org/10.1177/0969733014533241.
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Background: The development of society and science, especially medical science, gives rise to new moral and ethical challenges in healthcare. Research question/objectives/hypothesis: In order to respond to the contemporary challenges that require autonomous decision-making in different work contexts, a pedagogical experiment was conducted to identify the readiness and responsiveness of current organisation of nursing higher education in Slovenia. It compared the successfulness of active learning methods online (experimental group) and in the traditional classroom (control group) and their impact on the ethical competences of nursing students. The hypothesis set in the experiment, hypothesis 1 (the experimental group will be successful and will have good achievements in comprehension and application of ethical principles) was confirmed based on pre-tests and post-tests. The hypothesis tested by the questionnaire, hypothesis 2 (according to the students, the active learning methods online in the experimental group have a positive impact on the development of ethical competences) was confirmed. Research design: The pedagogical experiment was supported by a multiple-case study that enabled the in-depth analysis of the students’ attitudes towards the active learning methods in both settings. Participants and research context: The study included Slovenian first-year nursing students (N = 211) of all the enrolled students (N = 225) at the University of Ljubljana and University of Primorska in the academic year 2010/2011. Ethical considerations: Before the study ethical permission was obtained from the managements of both participating faculties. The students were given all the necessary information of the experiment before the tutorials. Findings: No significant difference was found between the two learning settings and both had a positive impact upon learning. The results of the content analysis show that the students’ active engagement with the active learning methods in the group enables the development of ethical competences and the related communicative competences, interpersonal skills, collaboration and critical thinking. Discussion: Active learning methods in the settings compared, online and the traditional classroom, enabled the development of a higher level of knowledge defined by the ability of critical thinking and reflective response, the core of ethical competences. Students develop ethical competence through active engagement in a group work, role play and discussion, and there is no difference between online or traditional learning settings. Conclusion: In the healthcare, it is crucial for providers to be capable of making autonomous decisions and managing various communication situations and contexts in which the moral attitudes and ethical sensibility are essential.
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Peter, Elizabeth, Shan Mohammed, and Anne Simmonds. "Sustaining hope as a moral competency in the context of aggressive care." Nursing Ethics 22, no. 7 (October 14, 2014): 743–53. http://dx.doi.org/10.1177/0969733014549884.
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Background: Nurses who provide aggressive care often experience the ethical challenge of needing to preserve the hope of seriously ill patients and their families without providing false hope. Research objectives: The purpose of this inquiry was to explore nurses’ moral competence related to fostering hope in patients and their families within the context of aggressive technological care. A secondary purpose was to understand how this competence is shaped by the social–moral space of nurses’ work in order to capture how competencies may reflect an adaptation to a less than ideal work environment. Research design: A critical qualitative approach was used. Participants: Fifteen graduate nursing students from various practice areas participated. Ethical considerations: After receiving ethics approval from the university, signed informed consent was obtained from participants before they were interviewed. Findings: One overarching theme ‘Mediating the tension between providing false hope and destroying hope within biomedicine’ along with three subthemes, including ‘Reimagining hopeful possibilities’, ‘Exercising caution within the social–moral space of nursing’ and ‘Maintaining nurses’ own hope’, was identified, which represents specific aspects of this moral competency. Discussion: This competency represents a complex, nuanced and multi-layered set of skills in which nurses must be well attuned to the needs and emotions of their patients and families, have the foresight to imagine possible future hopes, be able to acknowledge death, have advanced interpersonal skills, maintain their own hope and ideally have the capacity to challenge those around them when the provision of aggressive care is a form of providing false hope. Conclusion: The articulation of moral competencies may support the development of nursing ethics curricula to prepare future nurses in a way that is sensitive to the characteristics of actual practice settings.
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He, Xingli. "Analysis of The Influence of Nursing Intervention on the Mental Health of Maintenance Hemodialysis Patients." Journal of Nursing 4, no. 3 (August 26, 2015): 37. http://dx.doi.org/10.18686/jn.v4i3.13.
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<p><strong>Objective</strong>: To explore the effect of nursing intervention on the mental health status of patients through maintenance of hemodialysis patients with psychological counseling, psychological health education, treatment and other aspects while promoting the treatment of the disease. To study the effect of nursing intervention on the self-behavior management and anxiety in the patients. <strong>Methods</strong>: The psychological status of the patients was assessed through questionnaires which conducted by nurses with patients. The nurses asked for cooperation of patients and led them to complete a classified questionnaire. According to different psychological problems, the corresponding nursing measures were taken. <strong>Results</strong>: Most of the patients with maintenance hemodialysis had different levels of depression, fear, paranoia, interpersonal sensitivity and other psychological problems. <strong>Conclusion</strong>: Patients, who had psychological problems, received nursing intervention through nurse-patient relationship in the maintenance of hemodialysis patients. Self-care education could improve patients' self-management, which could reduce the patients' anxiety and depression. Their mental health had significantly improved. The treatment of disease ensured long-term survival, prolonged their life cycle and improved quality of life of patients.<strong></strong></p>
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Lützén, Kim, and Conny Nordin. "The Influence of Gender, Education and Experience On Moral Sensitivity in Psychiatric Nursing: a Pilot Study." Nursing Ethics 2, no. 1 (March 1995): 41–50. http://dx.doi.org/10.1177/096973309500200106.
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The purpose of this study was to investigate some factors which may influence moral decision-making in psychiatric nursing practice. The Moral Sensitivity Questionnaire, a 30-item, seven-point Likert scale, measures six dimensions that are assumed to be related to moral sensitivity. In scoring, the test is divided into six categories: interpersonal orientation, structuring moral meaning, expressing benevolence, modifying autonomy, experiencing conflict, and reliance on medical authority. Seventy-nine nurses, employed in the same psychiatric district, were included in the sample. Significant differences were found for some items in five of the six categories regarding gender, post-basic nursing education, experience as a mental care worker and type of clinical setting. Le but de cette étude était d'investiguer quelques éléments qui pourraient influencer les décisions morales dans la pratique infirmière psychiatrique. Le Questionnaire de Sensibilité Morale de 30 questions, sept points échelle Likert, mesure six dimensions qu'on assume d'être lié à la sensibilité morale. En marquant les points, le test est divisé entre les six catégories: orientation interpersonnelle, structurant un sens moral, l'expression de bénévolence, la modification de l'autonomie, l'expérience de conflit et dépendance de l'autorité médicale. Soixante-dix neuf infirmiers/ères, employé(e)s dans le même rayon de psychiatrie, ont participé dans l'étude. On a trouvé des différences considérables pour quelques questions dans cinq des six catégories en ce qui concerne le genre, l'éducation avancée, l'expérience d'infirmier/ère psychiatrique et type de cadre clinique. Das Ziel dieser Studie war die Untersuchung einiger Faktoren, die Einfluss haben auf die moralische Entscheidungsfindung in der psychiatrischen Krankenpflege. Der Fragebogen zur 'Moralischen Einfühlsamkeit' ist eine sieben-Punk Likert Skala für 30 Sachaspekte und misst sechs Dimensionen, von denen man annimmt, daß sie zur moralischer Einfühlsamkeit gehören. Für die Auswertung ist der Test in sechs Kategorien eingeteilt: Orientierung zu andem Personen, das Strukturieren moralischer Bedeutungselemente, Wohlwollen ausdrücken, Modifizierung von Selbstbestimmung,
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Pinto, Keli Regiane Tomeleri da Fonseca, Evelin Daiane Gabriel Pinhatti, Adriana Valongo Zani, and Cristina Maria Garcia de Lima Pàrada. "Sentimentos maternos frente à hospitalização do filho prematuro: análise de conteúdo." Online Brazilian Journal of Nursing 16, no. 4 (August 31, 2018): 439. http://dx.doi.org/10.17665/1676-4285.20175646.
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Aim: understand the feelings experienced by the mother when having her premature child hospitalized in the Neonatal Intensive Care Unit (NICU). Method: Descriptive research of a qualitative nature, performed with 11 mothers, through a semi-structured interview. The Content Analysis framework was adopted. Results: three thematic categories were identified: Suffering from the hospitalization of the premature child; Premature child care: trust in the team; Experiencing the impact of the neonatal intensive care environment. Discussion: mothers were faced with feelings such as fear, guilt over suffering and possible loss of the child, and reported feeling powerless and unable to care for the child at this time, which increased their anguish. Conclusion: mothers, when faced with the premature child in the NICU, experienced different feelings, feeling incapable and, often, moving away from the newborn. However, they reported confidence and security in the care of professionals with their children, valuing both technical aspects and interpersonal relationships.
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Mourão, Luana Feitosa, Benevina Maria Vilar Teixeira Nunes, Layze Braz de Oliveira, and Érika Wanessa Andrade. "Perspective of nursing students on curricular training / Perspectiva dos discentes de enfermagem sobre o estágio curricular / Perspectiva de estudiantes de enfermeira em el práctica curricular." Revista de Enfermagem da UFPI 4, no. 1 (June 17, 2015): 40. http://dx.doi.org/10.26694/reufpi.v4i1.2741.
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Objective: To characterize the curricular training in the Nursing Course of a public educational institution. Methods: descriptive exploratory study, whose the population was of 61 students who attended the 8th and 9th period and were enrolled in the curricular training. The sample consisted of 44 students, who agreed in answer a form with open and closed questions. Data were typed in Excel version 2010 and organized in tables and graphs. Results: Majority of students were females, with age between 21 and 26 years. The traineeship was conducted predominantly in hospitals. When asked about the physical infrastructure of the institutions in which they performed the stage (43.18%) reported that they were appropriate and (43.18%) reported partially adequate. Interpersonal relationships between students, teachers, health staff and patients were considered adequate. Regarding the safety of students in the development of practical activities on stage (55%) reported that developed the practices with safety, (43%) with partial security, and (2%) with insecurity. The majority reported that taught theoretical contents were partially applied on stage. Conclusion: The curricular training presented aspects that promote student learning, however there was a centrality of the hospital as a field of practice of curricular training. Keywords: Clinical Clerkship. Education Nursing. Nursing.
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Zoucha, Rick. "Considering Culture in Understanding Interpersonal Violence." Journal of Forensic Nursing 2, no. 4 (December 2006): 195–96. http://dx.doi.org/10.1097/01263942-200612000-00006.
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Zoucha, Rick. "Considering Culture in Understanding Interpersonal Violence." Journal of Forensic Nursing 2, no. 4 (June 28, 2008): 195–96. http://dx.doi.org/10.1111/j.1939-3938.2006.tb00082.x.
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Chaves, Lucieli Dias Pedreschi, Lidiane Maira Peruzzi, Bethania Ferreira Goulart, Sílvia Helena Henriques, Larissa Roberta Alves, and Ana Maria Laus. "Passagem de plantão na atenção hospitalar." Revista de Enfermagem UFPE on line 13, no. 4 (April 19, 2019): 989. http://dx.doi.org/10.5205/1981-8963-v13i4a236967p989-996-2019.
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RESUMO Objetivo: identificar potencialidades e limitações da passagem de plantão de Enfermagem na atenção hospitalar. Método: trata-se de um estudo qualitativo, descritivo, utilizando a Técnica do Incidente Crítico, com enfermeiros de unidades de internação de hospital público de ensino. Coletaram-se os dados por meio de entrevista semiestruturada, guiada por um roteiro, identificando-se as entrevistas com o número sequencial de realização. Empregou-se a estatística descritiva, que contribuiu para a descrição e a síntese dos dados em tabelas. Utilizou-se, em seguida, a técnica de Análise de Conteúdo para análise dos relatos. Resultados: obtiveram-se 76 situações, com 73,7% de referências negativas, nas categorias comunicação, interrupções na passagem de plantão, aspectos ambientais e aspectos organizacionais; 103 comportamentos, com 63,1% referências negativas, nas categorias comunicar, interromper a passagem de plantão, questionar a estrutura de trabalho e utilizar recursos tecnológicos; 126 consequências, com 65,8% de referências negativas, relativas à comunicação, tempo, organização do trabalho e relações interpessoais. Conclusão: evidencia-se, diante do predomínio de referências negativas, entendidas como limitadoras da passagem de plantão, a necessidade de intervenção da gestão dos serviços para superar as limitações e fortalecer os aspectos positivos. Descritores: Enfermagem; Organização e Administração; Comunicação; Hospital; Supervisão de Enfermagem; Serviços de Enfermagem. ABSTRACT Objective: to identify the potentialities and limitations of Nursing shift switching in hospital care. Method: this is a qualitative, descriptive study, using the Critical Incident Technique, with nurses from hospitalization units of a public teaching hospital. The data were collected through a semi-structured interview, guided by a script, identifying the interviews with the sequential number of realization. Descriptive statistics were used, which contributed to the description and synthesis of the data in tables. The Content Analysis technique was then used to analyze the reports. Results: There were 76 situations, with 73.7% of negative references, in the categories communication, interruptions in shift, environmental aspects and organizational aspects; 103 behaviors, with 63.1% negative references, in the communication categories, interrupting the shift, questioning the work structure and using technological resources; 126 consequences, with 65.8% of negative references, concerning communication, time, work organization and interpersonal relations. Conclusion: in the face of the predominance of negative references, understood as limiting the shift, the need to intervene in the management of services to overcome the limitations and strengthen the positive aspects. Descriptors: Nursing; Organization and Administration; Communication; Hospital; Nursing supervision; Nursing Services.RESUMEN Objetivo: identificar potencialidades y limitaciones del cambio de turno de enfermería en la atención hospitalaria. Método: se trata de un estudio cualitativo, descriptivo, utilizando la Técnica del Incidente Crítico, con enfermeros de unidades de internación de hospital público de enseñanza. Se recogen los datos por medio de una entrevista semiestructurada, dirigida por un guion, identificándose las entrevistas con el número secuencial de realización. Se empleó la estadística descriptiva, que contribuyó para la descripción y la síntesis de los datos en tablas. Se utilizó a continuación la técnica de Análisis de Contenido para el análisis de los relatos. Resultados: se obtuvieron 76 situaciones, con 73,7% de referencias negativas, en las categorías comunicación, interrupciones en el cambio de turno, aspectos ambientales y aspectos organizacionales; 103 comportamientos, con 63,1% referencias negativas, en las categorías comunicar, interrumpir el cambio de turno, cuestionar la estructura de trabajo y utilizar recursos tecnológicos; 126 consecuencias, con un 65,8% de referencias negativas, relativas a la comunicación, tiempo, organización del trabajo y relaciones interpersonales. Conclusión: se evidencia, ante el predominio de referencias negativas, entendidas como limitadoras del cambio de turno, la necesidad de intervención de la gestión de los servicios para superar las limitaciones y fortalecer los aspectos positivos. Descriptores: Enfermería; Organización y Administración; Comunicación; Hospital; Supervisión de Enfermería; Servicios de Enfermería.
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Kim, Kimberly H., Andrew Lee, Sam Avila, Ann Ouyang, and Anna Walker. "Application of High Fidelity Simulation for Acquisitions of Nursing Skills." International Journal for Innovation Education and Research 3, no. 1 (January 31, 2015): 78–95. http://dx.doi.org/10.31686/ijier.vol3.iss1.302.
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High fidelity simulation is known to improve problem solving and critical thinking skills as well as professional role acquisitions in nursing students. This descriptive study examined the perceptions of 186 culturally diverse baccalaureate nursing students enrolled in fundamentals of nursing and senior preceptorship courses about their experience in high fidelity simulation activities. Perceptions were examined in relation to the acquisition factors of nursing skills using the Simulation Evaluation Questionnaire and open-ended questions in two simulation labs at the end of each simulation session during academic years 2008-2011. The results indicated that the majority of students agreed or strongly agreed that the simulation experiences helped them prepare for clinical practice. Ninety five percent of the students reported that they were able to reflect on their own simulation experience; and 82% agreed or strongly agreed that they were able to problem solve and critically think while they participated in simulation activities. With the clearly defined scenario objectives, there were better ratings of problem solving and critical thinking of students during the simulation activity (r = 0.61, p < 0.002). Those who had the chance to problem solve and critically think were able to communicate more openly about simulation experiences during debriefing (r = 0.704, p = 000). The most important nursing techniques that they learned from simulation experiences included skills on how to assess patients’ baseline data,communicate with patients/families using interpersonal communications, mediate a person’s frustration efficiently while sticking to the goals, and deal with social aspects of care. Students reported that they least liked about simulations as they felt they were pressed and put on the spot and having to act in front of the class. Suggestions included sufficient scenario activity time and hands-on experiences for the future. Findings suggest that the students valued the high fidelity simulation as an effective medium for improving their clinical skill acquisitions.
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Szara, Marta, Anna Ksykiewicz-Dorota, Jadwiga Klukow, and Marzena Lamont. "Review of studies concerning job performance of nursing staff." Pielegniarstwo XXI wieku / Nursing in the 21st Century 16, no. 3 (September 26, 2017): 51–56. http://dx.doi.org/10.1515/pielxxiw-2017-0023.
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Abstract Introduction. Work performance is defined as a total value of behaviours expected from the employees during evaluation performed within a specified time. According to the basic and dichotomous division, performance refers to behaviours of employees (behavioural), and the results of their work. In addition, the researchers differentiate: task performance, contextual performance and adaptive performance. Results. Since the 1960s, many international researchers have been engaged in problems concerning the performance of work of nursing staff. Until today, the above-mentioned scope of problems remains up-to-date, but has been poorly recognized in Polish literature [1,2,3]. In the international reports the authors prove that the multi-aspect phenomenon of work performance depends on many variables. Many studies confirmed the relationship between job performance and personal traits of the employee, shift work, level of stress, social support, interpersonal relationships, leadership, as well as organizational culture.
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Yañez-Gallardo, Rodrigo, and Sandra Valenzuela-Suazo. "Critical incidents of trust erosion in leadership of head nurses." Revista Latino-Americana de Enfermagem 20, no. 1 (February 2012): 143–50. http://dx.doi.org/10.1590/s0104-11692012000100019.
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Investigations show that distrust towards head figures has a particularly negative effect on organizational dynamics. Because of this, the main types of behavior associated with distrust in nursing professionals with leadership duties have been identified, examining which aspect of reliability is most frequently related to distrust. Based on an analysis of 61 critical incidents, selected from 90 hospital employees, the most frequently mentioned behavior types related to distrust were "Public Abuse", "Not giving permission for time off for a special occasion" and especially an erosion of trustworthiness in the leader's integrity dimension. The implications of these findings are discussed, so that nursing professionals can avoid the development of distrust in interpersonal relationships and damage to the appropriate functioning of health services.
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Dehghani, Ali. "Factors affecting professional ethics development in students: A qualitative study." Nursing Ethics 27, no. 2 (July 8, 2019): 461–69. http://dx.doi.org/10.1177/0969733019845135.
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Background:Ethics development is one of the most important aspects of professional practice in health sciences students. Understanding factors affecting ethics development can enhance clinical and professional performance in students.Objective:This study was conducted to explore students’ perceptions about factors affecting professional ethics development.Research design:This study is a conventional content analysis. Data were collected through 20 semi-structured interviews and two focus group interviews (12 students) during 2017–2018. Data were analyzed concurrently with data gathering, using the conventional content analysis approach of Graneheim and Lundman.Participants and research context:In total, 8 students of nursing, 5 medical students, 4 students of anesthesia and 3 operating room students in individual interviews, and 12 students in two focus group interviews from one university in the south of Iran were selected through purposive sampling.Ethical considerations:The research was approved by the Ethics Committee of one university in the south of Iran.Findings:The findings revealed two themes: personal and background factors. Personal factors consisted of the two categories of individual motivation and tendencies and interpersonal interactions. Background factors consisted of the two categories of role and function of teachers and environmental agents.Discussion and conclusions:According to the findings, both background and individual factors affect development of professional ethics in students. Understanding these factors along with reinforcement of educational planning in this field can improve healthcare services.
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Numminen, Olivia, Helena Leino-Kilpi, Hannu Isoaho, and Riitta Meretoja. "Ethical climate and nurse competence – newly graduated nurses' perceptions." Nursing Ethics 22, no. 8 (December 8, 2014): 845–59. http://dx.doi.org/10.1177/0969733014557137.
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Background: Nursing practice takes place in a social framework, in which environmental elements and interpersonal relations interact. Ethical climate of the work unit is an important element affecting nurses’ professional and ethical practice. Nevertheless, whatever the environmental circumstances, nurses are expected to be professionally competent providing high-quality care ethically and clinically. Aim: This study examined newly graduated nurses’ perception of the ethical climate of their work environment and its association with their self-assessed professional competence, turnover intentions and job satisfaction. Method: Descriptive, cross-sectional, correlational research design was applied. Participants consisted of 318 newly graduated nurses. Data were collected electronically and analysed statistically. Ethical considerations: Ethical approval and permissions to use instruments and conduct the study were obtained according to required procedures. Data were rendered anonymous to protect participant confidentiality. Completing the questionnaire was interpreted as consent to participate. Findings: Nurses’ overall perception of the ethical climate was positive. More positive perceptions related to peers, patients and physicians, and less positive to hospitals and managers. Strong associations were found between perceived ethical climate and self-assessed competence, turnover intentions in terms of changing job, and job satisfaction in terms of quality of care. Nurses at a higher competence level with positive views of job satisfaction and low turnover intentions perceived the climate significantly more positively. Conclusion: Nursing management responsible for and having the power to implement changes should understand their contribution in ethical leadership, as well as the multidimensional nature of nurses’ work environment and the interaction between work-related factors in planning developmental measures. Future research should focus on issues in nurse managers’ ethical leadership in creating ethical work environments. There is also a need for knowledge of newly graduated nurses’ views of factors which act as enhancers or barriers to positive ethical climates to develop. Interventions, continuing education courses, and discussions designed to promote positive ethical climates should be developed for managers, nurses, and multi-professional teams.
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Dalla Nora, Carlise R., Elma LCP Zoboli, and Margarida M. Vieira. "Validation of a Brazilian version of the moral sensitivity questionnaire." Nursing Ethics 26, no. 3 (August 17, 2017): 823–32. http://dx.doi.org/10.1177/0969733017720849.
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Background: Moral sensitivity has been identified as a foundational component of ethical action. Diminished or absent moral sensitivity can result in deficient care. In this context, assessing moral sensitivity is imperative for designing interventions to facilitate ethical practice and ensure that nurses make appropriate decisions. Objective: The main purpose of this study was to validate a scale for examining the moral sensitivity of Brazilian nurses. Research design: A pre-existing scale, the Moral Sensitivity Questionnaire, which was developed by Lützén, was used after the deletion of three items. The reliability and validity of the scale were examined using Cronbach’s alpha and factor analysis, respectively. Participants and research context: Overall, 316 nurses from Rio Grande do Sul, Brazil, participated in the study. Ethical considerations: This study was approved by the Ethics Committee of Research of the Nursing School of the University of São Paulo. Findings: The Moral Sensitivity Questionnaire contained 27 items that were distributed across four dimensions: interpersonal orientation, professional knowledge, moral conflict and moral meaning. The questionnaire accounted for 55.8% of the total variance, with Cronbach’s alpha of 0.82. The mean score for moral sensitivity was 4.45 (out of 7). Discussion and conclusion: The results of this study were compared with studies from other countries to examine the structure and implications of the moral sensitivity of nurses in Brazil. The Moral Sensitivity Questionnaire is an appropriate tool for examining the moral sensitivity of Brazilian nurses.
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Maiocco, Gina, Billie Vance, and Toni Dichiacchio. "Readiness of Non-Veteran Health Administration Advanced Practice Registered Nurses to Care for Those Who Have Served: A Multimethod Descriptive Study." Policy, Politics, & Nursing Practice 21, no. 2 (May 2020): 82–94. http://dx.doi.org/10.1177/1527154420923749.
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Federal, state, and educational policy, as well as public and professional initiatives, should influence how care is delivered to veterans from non-Veteran Health Administration (VHA) advanced practice registered nurses (APRNs) located in civilian health care facilities. Due to the MISSION Act, more veterans are receiving care outside the VHA, but little is known about the readiness of APRNs to address the needs of this population. This mixed-methods study describes the perceptions of 340 non-VHA APRNs concerning practice, clinical needs, and challenges they face while delivering care to veterans. Survey results show only 8% of APRNs consistently asked about military service; less than 1% asked if the patient has a family member with military history; and only 25% applied research by inquiring into military history when patients presented with conditions like chronic pain, interpersonal violence, or insomnia. Technology use via mobile application was minimally reported (<1%). “Missing in Action,” the overarching theme from qualitative data, included three subthemes: (a) absence facilitated collaboration with VHA, (b) concerns regarding personal competency in the care of the military person, and (c) lack of recognition of the significance of the need to know about military status. Practice implications proffered include implementation of mandatory inquiry into military service and enactment of APRN veteran-centric nursing competencies. Education actions involve updating graduate nursing programs to include veteran health content and increased policy awareness. Future research should encompass replication of this study in specific APRN roles and consist of ongoing evaluation of veteran care by the civilian sector as the MISSION Act is implemented.
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Tuo, Jinmei, Mai Kabayama, Kei Kamide, and Yoshinari Aimi. "A Qualitative Study on Challenges Chinese Nurses Face while Working in Japanese Hospitals." Open Nursing Journal 15, no. 1 (August 24, 2021): 122–29. http://dx.doi.org/10.2174/1874434602115010122.
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Background: Considering the increased numbers of Chinese nurses in Japan, we hypothesized that Chinese nurses in Japan are confronted with many difficulties, although few studies have been performed. Therefore, in-depth analyses of their experience to explore significant factors and aspects are required. Objectives: To clarify the problems and difficulties faced by Chinese nurses during their work and life in Japan and to address their future challenges. Methods: We performed semi-structured interviews with 13 Chinese nurses working at 2 Japanese hospitals with Chinese and Japanese registered nurse licenses in 2017. We analyzed data using a qualitative inductive method. Results: We found that Chinese nurses were motivated to work at Japanese hospitals for several reasons. Many Chinese nurses working in Japan had difficulties with the language barrier, interpersonal relationships related to cultural differences, and loneliness in their daily life, and also experienced fewer opportunities for promotion than Japanese nurses and insufficient support from Japanese hospitals. Many Chinese nurses were anxious about their future in Japan. More than half did not have a clear future direction for their working life in Japan. Conclusion: This study clarified the circumstances and difficulties of Chinese nurses working in Japan. One novel finding was that the main reason for their difficulties is due to their unknown career path and future workplace setting. Therefore, support for overcoming the language barrier and improving cultural understanding from hospitals is necessary to help nurses make better decisions based on their future plans.
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BROWN, ANTHONY E., SIMON N. WHITNEY, and JAMES D. DUFFY. "The physician's role in the assessment and treatment of spiritual distress at the end of life." Palliative and Supportive Care 4, no. 1 (March 2006): 81–86. http://dx.doi.org/10.1017/s1478951506060093.
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Objective:Patients at the end of their life typically endure physical, emotional, interpersonal, and spiritual challenges. Although physicians assume a clearly defined role in approaching the physical aspects of terminal illness, the responsibility for helping their patients' spiritual adaptation is also important.Methods:This article (1) describes the terms and definitions that have clinical utility in assessing the spiritual needs of dying patients, (2) reviews the justifications that support physicians assuming an active role in addressing the spiritual needs of their patients, and (3) reviews clinical tools that provide physicians with a structured approach to the assessment and treatment of spiritual distress.Results:This review suggests that physicians can and should be equipped to play a key role in relieving suffering at the end of life.Significance of results:Physicians can help their patients achieve a sense of completed purpose and peace.
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Rosi, Ivana Maria, Adriana Contiguglia, Kim Randall Millama, and Stefania Rancati. "Newly graduated nurses’ experiences of horizontal violence." Nursing Ethics 27, no. 7 (July 1, 2020): 1556–68. http://dx.doi.org/10.1177/0969733020929063.
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Background: Horizontal violence, defined in the literature as ‘interpersonal conflict between two nurses at the same hierarchical levels in organizations’, often associated with bullying, affects the well-being of nurses, care recipients and the professional image of nursing and the organization due to increased turnover. One in every three newly graduated nurses is a victim of horizontal violence, although they do not always know how to define it. Aim: To investigate the direct and indirect experiences of horizontal violence in newly graduated nurses as well as to shed light on the phenomenon, on its awareness and recognition. Methods: A qualitative phenomenological study was conducted between September and October 2018 with newly graduated nurses, with a work experience ranging between 6 months and 3 years. The interviews were conducted face-to-face, consisting of a first open general question, followed by semi-structured questions. Ethical considerations: The study was conducted in accordance with the Declaration of Helsinki, and the protocol was approved by the Institution Review Board. Results: From the analysis of the interviews of the 21 participants, four main themes were identified: the ‘enemies’, that is those who exercised violence, the ‘weapons’ used by them to exercise violence, the ‘effects’ and the types of ‘armor’ identified to protect themselves. Discussion: Horizontal violence is rarely recognized by newly graduated nurses, even though our sample had directly or indirectly experienced horizontal violence. Tackling the phenomenon starting from the undergraduate degree courses, focusing on effective support and more protection by the organization leaders were the silent requests that emerged from this study. Conclusion: Preventing horizontal violence is important for nurses’ professional and private well-being, for professional conduct and for the quality of care provided to patients.