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Journal articles on the topic 'Nurse and patient Relations'
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1
Ana Raquel, Braga, and Carvalho Irene P. "The impact of the surgical mask on the relationship between patient and family nurse in primary care." Clinical Journal of Nursing Care and Practice 5, no. 1 (February 11, 2021): 003–14. http://dx.doi.org/10.29328/journal.cjncp.1001030.
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Objective: In primary care, during treatments, nurses may need to wear surgical masks, namely for control of infection contamination, or to minimize unpleasant odors. The goal of this study is to inspect the effect of nurses wearing the mask on patient perception of the nurse-patient relation. Methods: A pre-post-test, control-experimental group design was employed with 60 patients treated in family health units. Patients responded to the Patient Satisfaction Questionnaire III (PSQ-III) regarding nurses’ communication, interpersonal manner, technical quality, as well regarding general satisfaction with the encounter. An additional question asked both patients and nurses how long they felt that the visit lasted. Results: Results show that nurses wearing the surgical mask had significantly negative effects in all dimensions of PSQ-III and increased the perceived visit duration among both nurses and patients. Conclusion: When a previous relationship exists, nurses wearing the surgical mask in primary care in Portugal negatively affects patient satisfaction with both the patient-nurse relation and the nurses’ technical quality. Practice implications: Is important the nurse understand this impact to discuss with the colleagues the best strategy to minimize the negative impact to the patient- family nurse relation and manager this situation in the best way to the patient.
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Finch,, Linda P. "Nurses’ Communication with Patients: Examining Relational Communication Dimensions and Relationship Satisfaction." International Journal of Human Caring 9, no. 4 (June 2005): 14–23. http://dx.doi.org/10.20467/1091-5710.9.4.14.
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Effective communication between nurse and patient is paramount in establishing the relationship that provides the basis for patient care that influences healthcare outcomes. This study examined the dimensions of nurse-patient relational communication, identified the importance of nurses’ use of patient-preferred Relational Preference behaviors, and explored nurses’ satisfaction with nurse-patient interactions. The Nurse-Patient Communication Survey instrument asked nurses to recall a specific communication event with a patient. Responses implied a two-dimensional model of nurse-patient communication composed of caring and composure. Nurses had high levels of relational satisfaction that were positively and significantly associated with the use of Relational Preference behaviors. Post hoc testing revealed the caring communication dimension significantly contributed to nurses’ overall satisfaction with patient relationships.
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Finch,, Linda P. "Patients’ Communication with Nurses: Relational Communication and Preferred Nurse Behaviors." International Journal of Human Caring 10, no. 4 (June 2006): 14–22. http://dx.doi.org/10.20467/1091-5710.10.4.14.
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Communication between a nurse and a patient is a shared process that forms the basis for the professional relationship that is foundational for enhancing patient care and affecting patient outcomes. Both hermeneutical and descriptive methodologies were used to examine nurse-patient communication dimensions and identify patient-preferred nurse behaviors. Patients in three age groups participated in an interview and survey questionnaire. Use of the Nurse-Patient Communication Assessment Tool recognized a one-dimension model of patient-nurse relational communication comprised of calm, comfortable, caring, interested, sincere, accepting, and respectful. Responses to the Health Communication Interview questionnaire identified preferred behaviors patients want and expect from nurses as caring, warm/friendly, professional, competent, empathy, listens, and honest/sincere.
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Macabasag, Romeo Luis A., and Michael Joseph S. Diño. "Understanding the Essence of Caring from the Lived Experiences of Filipino Informatics Nurses." Nursing Science Quarterly 31, no. 2 (March 23, 2018): 166–74. http://dx.doi.org/10.1177/0894318418755732.
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Caring is considered a unique concept in nursing because it subsumes all intrinsic attributes of nursing as a human helping discipline. Scholars have argued that caring is usually seen as an encounter between nurses and patients, but how about nurses with minimal or absent nurse-patient encounters, like informatics nurses? In this study, we explored the meaning of the phenomenon of caring to present lived experiences of caring, namely caring as actions of coming in between; caring as expressed within embodied relations; and caring and the path traversed by informatics nurses. The informatics nurse-cyborg-patient triad speaks of Filipino informatics nurses’ insightful understanding of the phenomenon of caring.
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Boscart, Veronique M., Dorothy Pringle, Elizabeth Peter, Francine Wynn, and Katherine S. McGilton. "Development and Psychometric Testing of the Humanistic Nurse-Patient Scale." Canadian Journal on Aging / La Revue canadienne du vieillissement 35, no. 1 (February 16, 2016): 1–13. http://dx.doi.org/10.1017/s0714980815000604.
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RÉSUMÉLa qualité de vie et le bien-être des patients âgés dans les installations pour les soins chroniques dépendent souvent de leurs relations avec les infirmières. Les auteurs ont développé et testé une échelle pour évaluer les points de vue des patients sur ce qui compte le plus relative aux infirmières. Basé sur la théorie de soins infirmiers humanistes par Paterson et Zderad (1988), 69 articles ont été créés et testés avec un échantillon de 40 patients, résultant dans le raffinement d'une échelle avec 24 articles. Cette échelle a ensuite été soumise à une analyse factorielle sur les réponses de 249 patients résidant dans cinq installations en Ontario, Canada. L'Échelle de l'importance des relations humanistes a démontré une forte cohérence interne, la stabilité et la fiabilité avec une solution de cinq facteurs (α = 0,87). La validité de la construction a été soutenue par l'identification factuelle. Cette échelle est une mesure valide des points de vue des patients sur une relation infirmière-patient en soins chroniques, et peut être utilisée pour mesurer les relations des professionnels de la santé avec leur patients âgés et d'évaluer les interventions visant à améliorer la relation de soins.
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Krawczyk, Marian, and Richard Sawatzky. "Relational use of an electronic quality of life and practice support system in hospital palliative consult care: A pilot study." Palliative and Supportive Care 17, no. 2 (March 8, 2018): 208–13. http://dx.doi.org/10.1017/s1478951518000020.
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AbstractObjectivesThis study is part of an overarching research initiative on the development and integration of an electronic Quality of Life and Practice Support System (QPSS) that uses patient-reported outcome and experience measures in clinical practice. The current study focused on palliative nurse consultants trialing the QPSS with older hospitalized adults receiving acute care. The primary aim of the study was to better understand consultants’ and patients’ experiences and perspectives of use.MethodThe project involved two nurse specialists within a larger palliative outreach consult team (POCT) and consenting older adult patients (age 55+) in a large tertiary acute care hospital in western Canada. User-centered design of the QPSS was informed by three focus groups with the entire POCT team, and implementation was evaluated by direct observation as well as interviews with the POCT nurses and three patients. Thematic analysis of interviews and field notes was informed by theoretical perspectives from social sciences.ResultOver 9 weeks, the POCT nurses used the QPSS at least once with 20 patients, for a total of 47 administrations. The nurses most often assisted patients in using the QPSS. Participants referenced three primary benefits of relational use: enhanced communication, strengthened therapeutic relations, and cocreation of new insights about quality of life and care experiences. The nurses also reported increased visibility of quality of life concerns and positive development as relational care providers.Significance of resultsParticipants expressed that QPSS use positively influenced relations of care and enhanced practices consistent with person-centered care. Results also indicate that electronic assessment systems may, in some instances, function as actor-objects enabling new knowledge and relations of care rather than merely as a neutral technological platform. This is the first study to examine hospital palliative consult clinicians’ use of a tablet-based system for routine collection of patient-reported outcome and experience measures.
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Wasaya, Farah, Qamraiz Shah, Aziza Shaheen, and Karen Carroll. "Peplau’s Theory of Interpersonal Relations: A Case Study." Nursing Science Quarterly 34, no. 4 (September 18, 2021): 368–71. http://dx.doi.org/10.1177/08943184211031573.
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Theoretical frameworks offer guiding principles to guide nursing practice on well-defined nursing knowledge. Peplau’s theory of interpersonal relationship empowers nurses in their work for regaining health and well-being for people. Understanding the theory and the connectedness that arises from this theory provides a structure for nurse-patient relations, even working through a language barrier as evidenced by the case scenario detailed in this article.
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Aini, Qurrotu. "HUBUNGAN PELAYANAN PRIMA (EXCELLENT SERVICE) PERAWAT DENGAN KEPUASAN PASIEN DI INTENSIVE CARE UNIT RSUD SYAMRABU BANGKALAN." NURSING UPDATE : Jurnal Ilmiah Ilmu Keperawatan P-ISSN : 2085-5931 e-ISSN : 2623-2871 1, no. 2 (November 26, 2019): 29–36. http://dx.doi.org/10.36089/nu.v1i2.54.
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Satisfaction is the feeling that arises in the patient when the service has exceeded expectations. Based on preliminary study conducted on March 14, 2017 it was found that the level of patient satisfaction in the category enough as many as 6 (60%) respondents. The purpose of this study was analyzed the relation excellent service nurse to the patient satisfaction in Intensif Care Unit RSUD Syarifah Ambami Rato Ebu Bangkalan.
The design of this study was analytic corelative using a “Cross sectional”. The study population was all patiens treated in the Intensif Care Unit RSUD Syarifah Ambami Rato Ebu Bangkalan. The sample was 23 respondents. The sample used non-probability sampling by quota sampling. Independent variables was excellent service nurse and dependent variables is satisfaction patient. The collected data used a questionnare then it was analyzed by Spearman Rank with α = 0,005.
The results showed June, 2017 that nurses who did good excellent service and satisfied patient by 8 (34,8%) respondents, and performed excellent service nurse less and patients were unsatisfied as much as 1 (4,3%) respondent. Spearman rank statistical test showed that ρvalue =0,042 < α=0,05 which mean there was a relation between excellent service nurse to the patient satisfaction in Intensive Care Unit RSUD Syarifah Ambami Rato Ebu Bangkalan.
For health workers, especially nurses to pay more attention and understand about the excellent service that refers to patient satisfaction. So, the patient can recover from his illnes thanks to the encouragement and support of the nurse and is statisfied with the service provided by the nurse
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Dinç, Leyla, and Chris Gastmans. "Trust in nurse–patient relationships." Nursing Ethics 20, no. 5 (February 20, 2013): 501–16. http://dx.doi.org/10.1177/0969733012468463.
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The aim of this study was to report the results of a literature review of empirical studies on trust within the nurse–patient relationship. A search of electronic databases yielded 34 articles published between 1980 and 2011. Twenty-two studies used a qualitative design, and 12 studies used quantitative research methods. The context of most quantitative studies was nurse caring behaviours, whereas most qualitative studies focused on trust in the nurse–patient relationship. Most of the quantitative studies used a descriptive design, while qualitative methods included the phenomenological approach, grounded theory, ethnography and interpretive interactionism. Data collection was mainly by questionnaires or interviews. Evidence from this review suggests that the development of trust is a relational phenomenon, and a process, during which trust could be broken and re-established. Nurses’ professional competencies and interpersonal caring attributes were important in developing trust; however, various factors may hinder the trusting relationship.
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Aliftitah, Sugesti, and Emdat Suprayitno. "HUBUNGAN PERILAKU CARING PERAWAT DENGAN KECEMASAN PASIEN PRA OPERASI DI RUANG BEDAH RSUD Dr. H. MOH. ANWAR SUMENEP." JOURNAL OF HEALTH SCIENCE (JURNAL ILMU KESEHATAN) 2, no. 1 (March 27, 2018): 17–22. http://dx.doi.org/10.24929/jik.v2i1.390.
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Nurse caring behavior as a moral commitment to protect, maintain and improve the dignity of patients as human beings. The problem of this study is the patient psychological symptoms of anxiety that arise when undergoing surgery, and many patients complain that the nurse is not good when providing services.This study purpose was to analyze the relation between nurse caring behavior with preoperative anxiety patient in bedah ward RSUD dr.H. Moh. Anwar Sumenep.
The study design was Cross Sectional Study. The population all preoperative patients who treated in bedah ward as many as 13 nurses and preoperative patient. The sample sum a 13 nurses and 55 preoperative patients who had fill inclusion criteria by Quota Sampling technique. Independent variable is nurse caring behavior and preoperative patient anxiety as dependent variable.
The results showed that most of the have good caring behavior as 7 nurses (53.8%) and most of the preoperative patients had low anxiety many as 34 patients (61.8%). The result of statistic test use Spearman rho befoud P value <α (0.002<0.05). The correlation strength r of 0.783 who has the direction that the strength of the relationship study between vareabel is sturdy. Conclusion in this study be found significant relationship between nurse caring behavior with anxiety preoperative patients in bedah ward RSUD dr. H. Moh. Anwar Sumenep 2017.
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Hall, DS. "Interactions between nurses and patients on ventilators." American Journal of Critical Care 5, no. 4 (July 1, 1996): 293–97. http://dx.doi.org/10.4037/ajcc1996.5.4.293.
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BACKGROUND: Although the effectiveness of communication between nurses and ventilated patients has been identified by the American Association of Critical-Care Nurses as an area of concern, there are few reports of research in this area. OBJECTIVES: To examine the interactions between nurses and patients on ventilators and the relationship between characteristics of these nurses and their communication with patients. METHODS: An analytical, cross-sectional, experimental design was used to examine the work experience of 30 nurses with ventilated patients, the perceived level of consciousness of their ventilated patients, and the actions and reactions of nurses in relation to these patients. RESULTS: Significant correlations were found between the nurse's perception of the patient's degree of responsiveness and the number of positive and negative interactions with the patient, and between the length of time the nurse cared for the patient and the number of positive nurse reactions. Interaction patterns are also apparent from the data collected. CONCLUSIONS: Findings suggest that nurses' perceptions of patients' responsiveness and length of time nurses care for patients will influence nurse-patient interactions. Patterns of interaction suggest that nurses spend more time providing patients with information that the nurses consider important, rather than assessing or responding to patients' needs.
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Billeter-Koponen, Sirkka, and Lars Freden. "Long-term stress, burnout and patient-nurse relations: qualitative interview study about nurses' experiences." Scandinavian Journal of Caring Sciences 19, no. 1 (March 2005): 20–27. http://dx.doi.org/10.1111/j.1471-6712.2005.00318.x.
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Delmar,, Charlotte. "Becoming Whole: Kari Martinsen’s Philosophy of Care – Selected Concepts and Impact on Clinical Nursing." International Journal of Human Caring 17, no. 3 (April 2013): 20–28. http://dx.doi.org/10.20467/1091-5710.17.3.20.
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There seems to be a schism between philosophical descriptions of care ethics and nurses’ concrete experiences with nurse-patient collaboration. The article uses the Norwegian doctor of philosophy Kari Martinsen’s phenomenological philosophy of care as a framework to reflect on and connect to the impact on nursing. Nursing as a relationship-based moral practice is understood in the light of the philosophy of connected relations, the source of morality, and the concrete practical situation. Love, trust and power reflect the ethical demand in the concrete and asymmetrical nurse-patient relationship. Becoming whole; nursing practice and a philosophy of care are to be understood as intertwined.
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Widyawati, Ika Yuni, Nursalam Nursalam, Kusnanto Kusnanto, Rachmat Hargono, and Pei-Lun Hsieh. "Grieving as an Internal Factor of Nurse-Patient Interaction in a Dialysis Unit." Jurnal Ners 13, no. 1 (April 1, 2018): 64. http://dx.doi.org/10.20473/jn.v13i1.8005.
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Introduction: The quality of the nurse-patient interaction is one factor that affects the patient adherence, but a study that provides an overview of factors in the nurse-patient interaction in improving or maintaining dialysis patient adherence has not been found. The aim of this study was to provide an overview of the various factors involved in the interaction process between nurses and patients undergoing dialysis in relation to their adherence to fluid and dietary restrictions.Methods: A qualitative research design with an interpretive phenomenology approach was used in this study. The researcher intends to interpret the findings of the research, in this case the activity of the dialysis patients, in order to get a picture of the various factors involved in the process of interaction between nurse and dialysis patient. The unit of analysis used in this study was the disclosure or exposure of the internal factors of the nurse-patient interaction process, especially in relation to fluid and dietary restrictions. There were 15 participants who were selected based on the inclusion criteria. In-depth interviews, with field notes, were used in this study as the data collection method.Results: The analysis of the theme based on the goal of the research includes grieving, needs and values/morals, but in this article, the researchers only describe one theme - grieving.Conclusion: This result provides an overview of the findings on nurse-patient interaction factors that can serve as baseline data for the development of nursing care, both in nursing assessments and interventions aimed at improving dietary adherence and the fluid restriction of dialysis patients.
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Fakhr-Movahedi, Ali, Zahra Rahnavard, Mahvash Salsali, and Reza Negarandeh. "Exploring Nurse’s Communicative Role in Nurse-Patient Relations: A Qualitative Study." Journal of Caring Sciences 5, no. 4 (December 1, 2016): 267–76. http://dx.doi.org/10.15171/jcs.2016.028.
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Ramvi, Ellen, and Venke Irene Ueland. "Between the patient and the next of kin in end-of-life care: A critical study based on feminist theory." Nursing Ethics 26, no. 1 (January 24, 2017): 201–11. http://dx.doi.org/10.1177/0969733016688939.
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Background: For the experience of end-of-life care to be ‘good’ many ethical challenges in various relationships have to be resolved. In this article, we focus on challenges in the nurse–next of kin relationship. Little is known about difficulties in this relationship, when the next of kin are seen as separate from the patient. Research problem: From the perspective of nurses: What are the ethical challenges in relation to next of kin in end-of-life care? Research design: A critical qualitative approach was used, based on four focus group interviews. Participants: A total of 22 registered nurses enrolled on an Oncology nursing specialisation programme with experience from end-of-life care from various practice areas participated. Ethical considerations: The study was approved by the Norwegian Social Science Data Service, Bergen, Norway, project number 41109, and signed informed consent obtained from the participants before the focus groups began. Findings and discussion: Two descriptive themes emerged from the inductive analysis: ‘A feeling of mistrust, control and rejection’ and ‘Being between hope and denial of next of kin and the desire of the patient to die when the time is up’. Deductive reinterpretation of data (in the light of moral distress from a Feminist ethics perspective) has made visible the constraints that certain relations with next of kin in end-of-life care lay upon the nurses’ moral identity, the relationship and their responsibility. We discuss how these constraints have political and societal dimensions, as well as personal and relational ones. Conclusion: There is complex moral distress related to the nurse–next of kin relationship which calls for ethical reflections regarding these relationships within end-of-life care.
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Liu, Wei, Elizabeth Manias, and Marie Gerdtz. "Exploring power relations embedded in medication communication processes on general medical wards." Qualitative Research Journal 14, no. 2 (July 8, 2014): 161–78. http://dx.doi.org/10.1108/qrj-06-2013-0041.
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Purpose – The purpose of this paper is to examine power relations embedded in verbal and non-verbal medication communication processes that involve nurses, doctors, pharmacists and patients in two general medical wards of an acute care hospital. Design/methodology/approach – This paper reports on the findings of an ethnographic study investigating medication communication processes in hospital spatial environments. It was theoretically informed by the work of Norman Fairclough. Data collection methods comprising video-recordings and video reflexive focus groups were employed. Fairclough's critical discourse analytic framework guided data analysis. Findings – Four different forms of power relations between clinician-patient, nurse-doctor, clinician-organisation and multidisciplinary interactions were uncovered. Nurses asserted their professional autonomy when communicating with doctors about medications by offering specific advice on medical prescribing and challenging medication decisions. Video reflexivity enabled nurses to critically examine their contribution to medication decision-making processes. Clinicians of different disciplines openly contested the organisational structure of patient allocation during medical discussions about management options. Clinicians of different disciplines also engaged in medication communication interchangeably to accomplish patient discharge. Originality/value – An investigation of existing power relations embedded in medication communication processes within specific clinical contexts can lead to a better understanding of medication safety practices. Video reflexive focus groups are helpful in encouraging clinicians to reflect on their practice and consider ways in which it could be improved in how power relations are played out.
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Pesut, Barbara, Sally Thorne, Megan L. Stager, Catharine J. Schiller, Christine Penney, Carolyn Hoffman, Madeleine Greig, and Josette Roussel. "Medical Assistance in Dying: A Review of Canadian Nursing Regulatory Documents." Policy, Politics, & Nursing Practice 20, no. 3 (May 6, 2019): 113–30. http://dx.doi.org/10.1177/1527154419845407.
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Canada's legalization of Medical Assistance in Dying (MAiD) in 2016 has had important implications for nursing regulators. Evidence indicates that registered nurses perform key roles in ensuring high-quality care for patients receiving MAiD. Further, Canada is the first country to recognize nurse practitioners as MAiD assessors and providers. The purpose of this article is to analyze the documents created by Canadian nursing regulatory bodies to support registered nurse and nurse practitioner practice in the political context of MAiD. A search of Canadian provincial and territorial websites retrieved 17 documents that provided regulatory guidance for registered nurses and nurse practitioners related to MAiD. Responsibilities of registered nurses varied across all documents reviewed but included assisting in assessment of patient competency, providing information about MAiD to patients and families, coordinating the MAiD process, preparing equipment and intravenous access for medication delivery, coordinating and informing health care personnel related to the MAiD procedure, documenting nursing care provided, supporting patients and significant others, and providing post death care. Responsibilities of nurse practitioners were identified in relation to existing legislation. Safety concerns cited in these documents related to ensuring that nurses understood their boundaries in relation to counseling versus informing, administering versus aiding, ensuring safeguards were met, obtaining informed consent, and documenting. Guidance related to conscientious objection figured prominently across documents. These findings have important implications for system level support for the nursing role in MAiD including ongoing education and support for nurses' moral decision making.
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Balsanelli, Alexandre Pazetto, Isabel Cristina Kowal Olm Cunha, and Iveth Yamaguchi Whitaker. "Leadership styles and personal and professional profile of intensive care unit nurses." Acta Paulista de Enfermagem 21, no. 2 (2008): 300–304. http://dx.doi.org/10.1590/s0103-21002008000200011.
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OBJECTIVE: To verify the relation between leadership styles and personal and professional profile of a nurse facing another team member when performing ICU patient care. METHODS: Samples were collected on seven nurses and seven practical nurses working as partners. Throughout three months, the nurses were inquired about the leadership style applied when the practical nurse, under their assessment, performed ICU patient care. RESULTS: Persuasion style prevailed among other styles, followed by determining and sharing between leaders and their subordinated team member. CONCLUSION: In this ICU, nurses stand out due to their persuading situational leadership style where they explain their decisions and provide the opportunity for clarification to the subordinated team. No relation between the nurses' leadership style and their professional and personal profile was shown.
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CAMERON, D., R. KAPUR, and P. CAMPBELL. "Releasing the therapeutic potential of the psychiatric nurse: a human relations perspective of the nurse-patient relationship." Journal of Psychiatric and Mental Health Nursing 12, no. 1 (February 2005): 64–74. http://dx.doi.org/10.1111/j.1365-2850.2004.00796.x.
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Zoboli, Elma Lourdes Campos Pavone. "Nurses and primary care service users: bioethics contribution to modify this professional relation." Acta Paulista de Enfermagem 20, no. 3 (September 2007): 316–20. http://dx.doi.org/10.1590/s0103-21002007000300012.
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OBJECTIVE: To identify ethical issues experienced by nurses during their clinical practice in primary care settings and to explore ways to improve the nurse-patient ethical relationship. METHODS: This qualitative descriptive study was conducted through semi-structured interviews with 17 registered nurses from a Family Health Program in São Paulo City, Brazil. Data were analyzed through content analysis. RESULTS: Ethical issues in primary care settings are not serious and do not demand immediate attention. Ethical issues in these settings can be easily resolved through good nurse-patient relationship. CONCLUSION: The main ethical principles of autonomy, justice, and beneficence may contribute to better citizenship and health promotion.
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Kunyk, Diane, and Wendy Austin. "Nursing under the influence." Nursing Ethics 19, no. 3 (June 6, 2011): 380–89. http://dx.doi.org/10.1177/0969733011406767.
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When nurses have active and untreated addictions, patient safety may be compromised and nurse-health endangered. Genuine responses are required to fulfil nurses' moral obligations to their patients as well as to their nurse-colleagues. Guided by core elements of relational ethics, the influences of nursing organizational responses along with the practice environment in shaping the situation are contemplated. This approach identifies the importance of consistency with nursing values, acknowledges nurses interdependence, and addresses the role of nursing organization as moral agent. By examining the relational space, the tension between what appears to be opposing moral responsibilities may be healed. Ongoing discourse to identify authentic actions for the professional practice issue of nursing under the influence is called upon.
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Vujanić, Jasenka, Nada Prlić, and Robert Lovrić. "Nurses’ Self-Assessment of Caring Behaviors in Nurse–Patient Interactions: A Cross-Sectional Study." International Journal of Environmental Research and Public Health 17, no. 14 (July 21, 2020): 5255. http://dx.doi.org/10.3390/ijerph17145255.
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Nurse–patient interactions based on caring behaviors ensure better working conditions and better-quality healthcare. The aim of this quantitative study is to examine how nurses self-assess the frequency of applying caring behaviors in nurse–patient interactions and to identify the differences in the application frequency of caring behaviors in relation to work experience and education level. The respondents were Bachelor of Science (BSc) nurses and nurses with basic training (VET) employed in different clinical departments of the Clinical Hospital Center in Croatia. The survey used the “Caring Nurse–Patient Interactions Scale (Nurse Version)”. The respondents assessed the caring behaviors from the subscale “needs” as the most frequently applied (median (Me): 4.7; interquartile range (IQR): 4.4–4.9), while the least frequently applied were the procedures from the subscale “sensitivity” (Me: 3.8; IQR: 3.2–4.3). The VET nurses reported applying caring behaviors to the subscales “hope” (p < 0.001), “problem-solving” (p = 0.003), and “environment” (p = 0.021) more frequently than BSc nurses did. Compared with less experienced respondents, the respondents with more than 30 years of work experience applied the caring behaviors on the subscales “sensitivity” (p = 0.009), “expression of emotions” (p = 0.001), “problem-solving” (p = 0.008), and especially “humanism” and “spirituality” (p < 0.001) more frequently. The results indicate that respondents are more focused on applying skills or carrying out a task than on caring behaviors which is about demonstrating compassion, loving kindness, and relationships.
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Ahenkora, Kwaku, Ernestina Armah, Frederick Santuoh, Theresa Sarpong, and Confidence Atakro. "Patients as strategic partners in hospital settings: Trust, participation, relational value, and loyalty." Journal of Hospital Administration 8, no. 5 (July 29, 2019): 1. http://dx.doi.org/10.5430/jha.v8n5p1.
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Objective: The need to motivate patients to participate as strategic partners in healthcare exists, and this has prompted the development of relational models of value creation. This study assesses the effect of trust-in doctor/nurse on patient participation as well as the outcomes on perceived relational value and loyalty.Methods: An empirical model from the patient’s point of view was designed and tested. Data were collected from 209 patients, who had attended public (10) and private (10) hospitals/clinics, and analyzed using the principles of structural equation modelling.Results: The results show that patients’ perception of trust-in-doctor/nurse is an antecedent of patient participation. Patient participation has positive effects on perceived patient relational value, and this subsequently affects patient satisfaction, affective commitment, and loyalty.Conclusions: The study shows that trust affects patient participation behaviour, and the outcome of this behaviour contributes to value creation and loyalty in service delivery. Managerial implication: Nurses and doctors who build trust and involve patients create relational value with them, which enable patients to experience satisfaction and commitment, and this leads to long term relationships with the hospital. The study indicates that building trust and promoting patient participation should be a strategic imperative for management.
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Coventry, Tracey H., and Kylie P. Russell. "The clinical nurse educator as a congruent leader: A mixed method study." Journal of Nursing Education and Practice 11, no. 1 (September 11, 2020): 8. http://dx.doi.org/10.5430/jnep.v11n1p8.
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Educational leadership in the clinical setting has an influence on the promotion and achievement of competent and confident nurses. In Australia, the newly qualified registered nurse entering the workforce is exposed to a variety of experiential learning opportunities and engages with the nurse who is responsible for the clinical learning and development (clinical nurse educator) in the first-year graduate program. There is limited research examining the clinical nurse educator role and actual and potential leadership in the workforce. This study aimed to articulate the extent to which the clinical nurse educator is perceived as a clinical leader in the acute hospital setting. And specifically, the relationship of the role to the congruent leadership style. A mixed method convergent design (QUANT + QUAL) approach used (1) an online questionnaire with open and closed ended questions for the graduate nurses and (2) semi-structured individual interviews with graduate nurses, their clinical nurse educators and their nurse managers. Findings confirmed the clinical nurse educator leadership was visible, approachable, and relational with clearly identified values and passionate patient-centred principles. Challenges to the clinical nurse educator identity and confidence exist and impact the clinical role and leadership value. The clinical nurse educator did not need to be in a management position to lead and influence graduates’ successful transition to practice and integration into the clinical environment. The clinical nurse educator exhibits a congruent leadership style through engagement and promotion of the graduate nurses in their first year of nursing. The education role is of significance to meet contemporary health care expectations and promote quality patient care and new nurse retention in the healthcare organisation.
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Wańkowicz, Agnieszka, Piotr Wańkowicz, Paweł Golubka, Wiktoria Golubka, Dominik Dłuski, Radzisław Mierzyński, Dorota Darmochwał-Kolarz, and Andrzej Emeryk. "Examining the image of nursing among the children hospitalized in the oncology ward." Polish Journal of Public Health 125, no. 2 (June 1, 2015): 90–93. http://dx.doi.org/10.1515/pjph-2015-0031.
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Abstract Introduction. Patients, as subjects of medical care, are becoming increasingly more demanding toward medical professionals which poses a challenge both for doctors and nurses. A variety of factors influences the professional image of a nurse. Different features are involved, including the nurse’s professional or interpersonal skills their personal beliefs, attitude, as well as social stereotypes about nurses. Aim. Looking at the image of nursing among the children hospitalized in the oncology ward. Material and methods. The authors used both literature review and a questionnaire of their own making. The literature review was done using data from the databases of Polish Central Medical Library. The research group comprised 32 children (aged from 8 to 17), all undergoing hospitalization in Hematology/Oncology and Child Transplantology in Lublin. The statistical calculations are made using Chi2 tests. The test results of p<0.05 were held as statistically significant. Results. The group was mostly composed of children aged 14 to 17 (56.25%). There were more boys (62.5%) than girls. The majority of children came from rural areas (71.87%) and most of them read through the documentation concerning the rules of the ward. Both nurses’ work and relations with patients were graded as “good” by the patients. Children pointed to “nice appearance” as the most important feature of every nurse. Discussion. A pediatric nurse should be patient, have lots of understanding, be sympathetic, caring and able to hold their nerve. Unfortunately, according to authors of earlier studies, not all nurses have these traits. This is due to the fact that the staff rarely involve in communication with the patients and they lack interpersonal skills. Conclusions. Children have a very high opinion on the work of nurses at the Hematology/Oncology and Child Transplantology Clinics. The children emphasized that the following features have the highest impact on their picture of the nurse: nice looks, being protective and caring. A research study conducted at the Hematology/Oncology and Child Transplantology Clinics shows the right features that a nurse should have
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L. Foster, Crystal, Samuel P. Abraham, and Deborah R. Gillum. "Emergency Room Nurses’ Views on Bedside Shift Reporting." International Journal of Studies in Nursing 4, no. 4 (December 5, 2019): 55. http://dx.doi.org/10.20849/ijsn.v4i4.677.
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Bedside shift reporting is a form of communication used by nurses to communicate with each other regarding the patient plan of care. Although bedside shift reporting is required by The Joint Commission and is a required hospital policy, there are inconsistencies in the emergency room nurses performing the task. The purpose of this study was to describe emergency room nurses’ views on bedside shift reporting. A qualitative research study was conducted using a semi-structured interview process. Colaizzi’s data collection and analysis strategy were used to determine emerging themes. Peplau’s interpersonal relations and Benner’s novice to expert theories were used to help guide this study. Fifteen emergency room nurses were interviewed, and seven themes emerged from the data collected. Three themes, nurse accountability, nurse introduction, and patient involvement were identified as benefits of bedside shift reporting. Four themes, bedside shift report not done, emergency room situations, emergency room environment, and time factors were identified as challenges of bedside shift reporting. The study helped to determine the need for additional educational opportunities for the emergency room nurses, emergency department, and the organization to increase the consistency of the reporting process.
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Kaya, Ayla, and İlkay Boz. "The development of the Professional Values Model in Nursing." Nursing Ethics 26, no. 3 (September 20, 2017): 914–23. http://dx.doi.org/10.1177/0969733017730685.
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One of the most important criteria for professionalism is accumulation of knowledge that is usable in professional practice. Nursing models and theories are important elements of accumulating nursing knowledge and have a chance to guarantee the ethical professional practice. In recent years, there has been an increase in the use of models in nursing research and newly created terminology has started to be used in nursing. In this study, a new model, termed as the Professional Values Model, developed by the authors was described. Concepts comprising the conceptual framework of the model and relations between the concepts were explained. It is assumed that awareness about concepts of the model will increase not only the patients’ satisfaction with nursing care, but also the nurses’ job satisfaction and quality of nursing care. Contemporary literature has been reviewed and synthesized to develop this theoretical paper on the Professional Values Model in nursing. Having high values in nursing increases job satisfaction, which results in the improvement of patient care and satisfaction. Also, individual characteristics are effective in the determination of individual needs, priorities, and values. This relation, proved through research about the Professional Values Model, has been explained. With development of these concepts, individuals’ satisfaction with care and nurses’ job satisfaction will be enhanced, which will increase the quality of nursing care. Most importantly, nurses can take proper decisions about ethical dilemmas and take ethical action when they take these values into consideration when giving care. The Professional Values Model seems suitable for nurse managers and it is expected that testing will improve it. Implementation of the Professional Values Model by nurse managers may increase motivation of nurses they work with. It is suggested that guidance by the Professional Values Model may help in enhancement of motivation efforts of the nurse managers and therefore should be taken into account.
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Evans, Emily C., Nancy L. Deutsch, Emily Drake, and Linda Bullock. "Nurse–Patient Interaction as a Treatment for Antepartum Depression: A Mixed-Methods Analysis." Journal of the American Psychiatric Nurses Association 23, no. 5 (April 29, 2017): 347–59. http://dx.doi.org/10.1177/1078390317705449.
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BACKGROUND: The U.S. Preventative Services Task Force guidelines recommend pregnant women be screened for depression and adequate systems be in place to treat this condition. OBJECTIVE: This study examines a nurse-delivered telephone support intervention provided to low-income, pregnant women living in rural settings. DESIGN: This study had a complementary mixed-methods design, using secondary data. Peplau’s theory of interpersonal relations was used as a framework to guide the study. RESULTS: The phases of Peplau’s theory of interpersonal relations were evident in the interactions. Underserved women at high risk for depression appreciated this type of support, with the women at highest risk for depression utilizing more of the nursing support provided. On average, Mental Health Index–5 scores improved from 45 to 66. CONCLUSION: A nurse-delivered telephone support intervention, modeled around Peplau’s theory of interpersonal relations, may be an effective way of providing support to underserved women and has the potential to treat or offset antepartum depression.
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Febrina, Wiwit, and Yenni Yenni. "PENGETAHUAN PERAWAT TERHADAP PELAKSANAAN TIMBANG TERIMA PASIEN SESUAI SOP." Real in Nursing Journal 1, no. 2 (August 12, 2018): 60. http://dx.doi.org/10.32883/rnj.v1i2.265.
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<p><em>Nursing is one of a profession front for health workers in this effort to ensure the quality of health center in the community. Handover is good quality health services to offer a service nursing on a patient care, To optimize the role and function of nurse especially function to independence nurse. This research aims to know the the relations knowledge of a nurse with patient handover implementation as procedure. The kind of research used is descriptive analytic with the approach cross sectional. A population that used is nurse who were 101 people from 101 a person who uses technique total of sampling. The analysis in use is analysis univariat and bivariat. The results of the study was obtained 42,6 % nurse possess wisdom that low and 31.7 % nurse of these stations have the implementation of patient a less well , testing shows statistic been gained there are the kind of relationship is meaningless between knowledge a nurse with the implementation of these stations received patients ( p = 0,094 ). Based on the research done can be concluded that there was a correlation meaningful of the incentives a nurse with the implementation of the weigh received patients appropriate with the sop .Was recommended to researchers , the hospital to continue to motivate nurse in the implementation of the weigh received patients appropriate with the procedure. </em></p><p> </p><p><em><strong>Keywords: Knowledge, The Implementation of handover</strong></em></p><p><em><br /></em></p>
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Milkhatun, Milkhatun. "THE RELATION BETWEEN CHARACTERISTICS OF NURSES AND COMPLIANCE TOWARD THE IMPLEMENTATION PREVENTION OF PATIENTS FALLS IN REGIONAL PUBLIC HOSPITAL GOVERNMENT SAMARINDA." Jurnal Ilmu Kesehatan 7, no. 1 (September 11, 2019): 24–32. http://dx.doi.org/10.30650/jik.v7i1.625.
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Most patient safety standards (IPSG) specifically prevent the risk of falling applied by nurses. One of the internal factors that affect compliance is the characteristics of nurses. This study aims to determine the relation between the characteristics of nurses and adherence in the implementation of prevention of patients falling at Samarinda Government Daera General Hospital. The method used is a descriptive correlation with the cross-sectional approach. The instruments used in this study were questionnaires and observation sheets. The total sample of 51 nurses in nonintensive inpatient rooms with sampling techniques used purposive sampling. The analysis test in this study used Rank Spearman. Based on the results of the Spearman rank test of 4 variables, namely age (p = 0.026, rho = 0.312), gender (p = 0.366, rho = 0.129), education (p = 0.224, rho = -0.173), and work period (p = 0.151, rho = 0.204) there is only 1 variable, namely age, which has a relation with nurse compliance in the implementation of prevention of falling patients. There is a significant relation between the age of the nurse and compliance in the implementation of the prevention of falling patients. There is no relation between gender, education and the duration of employment of nurses with adherence to the implementation prevention of falling patients.
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Teising, Martin. "The Nurse, the Patient, and the Illness: An Object Relations Approach to Nursing." Perspectives in Psychiatric Care 33, no. 4 (January 16, 2009): 19–24. http://dx.doi.org/10.1111/j.1744-6163.1997.tb00554.x.
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Price, Sheri L., Martha Paynter, Linda McGillis Hall, and Carol Reichert. "The Intergenerational Impact of Management Relations on Nurse Career Satisfaction and Patient Care." JONA: The Journal of Nursing Administration 48, no. 12 (December 2018): 636–41. http://dx.doi.org/10.1097/nna.0000000000000695.
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Haber, Judith. "Hildegard E. Peplau: The Psychiatric Nursing Legacy of a Legend." Journal of the American Psychiatric Nurses Association 6, no. 2 (April 2000): 56–62. http://dx.doi.org/10.1067/mpn.2000.104556.
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Hildegard Peplau is remembered by nurses worldwide as the "mother of psychiatric nursing." Her scope of influence transcended her psychiatric nursing specialty and had a profound effect on the nursing profession, nursing science, and nursing practice. Peplau played a leadership role by influencing and emphasizing the advancement ofprofessional educational, and practice standards, and the importance of professional self-regulation through credentialing. She made a major contribution to nursing science, professional nursing and, of course, to the psychiatric nursing specialty through development of the Interpersonal Relations paradigm, a mid-range theory that has influenced the importance with which the nurse-patient relationship is regarded. The essential nature of the nursepatient relationship and its significance as a therapeutic modality operationalizes Peplau's scholarship and provides the basis for both the art and science of nursing practice. Peplau would challenge psychiatric nurses to thrive in the new millennium through continued commitment to the importance of the nurse-patient relationship, engagement in evidence-based practice, support of competence in information technology, and provision of leadership in influencing the health care paradigm shift to community-based health care delivery.
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Ahmadieh, Hala, Ghali H. Majzoub, Faraj M. Abou Radi, and Areej H. Abou Baraki. "Inter-professional physician-nurse collaboration in Lebanon." International Journal of Health Governance 25, no. 1 (February 29, 2020): 34–45. http://dx.doi.org/10.1108/ijhg-05-2019-0036.
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PurposeA physician–nurse relationship is a complex, professional and shared-decision-making process, which is an important predictor of high-quality patient care. The purpose of this paper is to explore the attitude of the physician–nurse relationship in Southern Lebanon hospitals.Design/methodology/approachA descriptive institutional cross-sectional study was conducted among different departments of three hospitals in Southern Lebanon using a validated Jefferson Scale of Attitude.FindingsIn sum, 89 physicians and 245 nurses accepted to participate. The nurses’ mean age was 32 and the physicians’ was 44. The mean score was found to be 46 for all participants, with significantly higher scores noted among nurses compared to physicians (48 vs 43, respectively) and higher scores among females compared to males (48 vs 46, respectively). However, the study scored no significant difference in relation to the degrees attained by nurses and the participants’ years of experience. The majority had agreed that the shortage in the nurses’ staff affects proper patient care delivery. One fourth of the physicians disagreed that nurses should be considered as a collaborator and colleague. Therefore, more work is required to improve this collaboration.Research limitations/implicationsThere is a complex relationship normally displayed by physicians and nurses, which cannot be easily interpreted and analyzed. Physicians and nurses may have given socially desirable responses while filling the questionnaire. Even more, this study was conducted in Hospitals in Southern Lebanon, and it would be nice to extend this study to include further hospitals in other regions in Lebanon as well.Practical implicationsNurses had higher scores toward collaboration, with females scoring higher than males. However, overall scores are considered to be lower compared to other countries. Thus, more efforts should be done on improving this communication among nurses and physicians, through promoting inter-professional undergraduate and postgraduate education training toward more effective communication.Social implicationsQuality of patient care would be improved if more work is done on improving the collaboration between physicians and nurses, and this was shown to be required as per study results.Originality/valueThere is a gap in literature assessing this important topic which is the collaboration and attitude of nurses and physicians toward their relationship in Lebanon. It is extremely important that efforts should be taken in order to determine the type of nurse–physician relationship in every local context as this relationship affects quality of patients’ care.
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Olley, Richard, Ian Edwards, Mark Avery, and Helen Cooper. "Systematic review of the evidence related to mandated nurse staffing ratios in acute hospitals." Australian Health Review 43, no. 3 (2019): 288. http://dx.doi.org/10.1071/ah16252.
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Objective The purpose of this systematic review was to evaluate and summarise available research on nurse staffing methods and relate these to outcomes under three overarching themes of: (1) management of clinical risk, quality and safety; (2) development of a new or innovative staffing methodology; and (3) equity of nursing workload. Methods The PRISMA method was used. Relevant articles were located by searching via the Griffith University Library electronic catalogue, including articles on PubMed, Cumulative Index to Nursing and Allied Health Literature (CINAHL) and Medline. Only English language publications published between 1 January 2010 and 30 April 2016 focusing on methodologies in acute hospital in-patient units were included in the present review. Results Two of the four staffing methods were found to have evidenced-based articles from empirical studies within the parameters set for inclusion. Of the four staffing methodologies searched, supply and demand returned 10 studies and staffing ratios returned 11. Conclusions There is a need to develop an evidence-based nurse-sensitive outcomes measure upon which staffing for safety, quality and workplace equity, as well as an instrument that reliability and validly projects nurse staffing requirements in a variety of clinical settings. Nurse-sensitive indicators reflect elements of patient care that are directly affected by nursing practice In addition, these measures must take into account patient satisfaction, workload and staffing, clinical risks and other measures of the quality and safety of care and nurses’ work satisfaction. i. What is known about the topic? Nurse staffing is a controversial topic that has significant patient safety, quality of care, human resources and financial implications. In acute care services, nursing accounts for approximately 70% of salaries and wages paid by health services budgets, and evidence as to the efficacy and effectiveness of any staffing methodology is required because it has workforce and industrial relations implications. Although there is significant literature available on the topic, there is a paucity of empirical evidence supporting claims of increased patient safety in the acute hospital setting, but some evidence exists relating to equity of workload for nurses. What does this paper add? This paper provides a contemporary qualitative analysis of empirical evidence using PRISMA methodology to conduct a systematic review of the available literature. It demonstrates a significant research gap to support claims of increased patient safety in the acute hospital setting. The paper calls for greatly improved datasets upon which research can be undertaken to determine any associations between mandated patient to nurse ratios and other staffing methodologies and patient safety and quality of care. What are the implications for practitioners? There is insufficient contemporary research to support staffing methodologies for appropriate staffing, balanced workloads and quality, safe care. Such research would include the establishment of nurse-sensitive patient outcomes measures, and more robust datasets are needed for empirical analysis to produce such evidence.
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Boyd, Donald, and Lusine Poghosyan. "Measuring Certified Registered Nurse Anesthetist Organizational Climate: Instrument Adaptation." Journal of Nursing Measurement 25, no. 2 (2017): 224–37. http://dx.doi.org/10.1891/1061-3749.25.2.224.
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Background and Purpose: No tool exists measuring certified registered nurse anesthetist (CRNA) organizational climate. The study’s purpose is to adapt a validated tool to measure CRNA organizational climate. Methods: Content validity of the Certified Registered Nurse Anesthetist Organizational Climate Questionnaire (CRNA-OCQ) was established. Pilot testing was conducted to determine internal reliability consistency of the subscales. Results: Experts rated the tool as content valid. The subscales had high internal consistency reliability (with respective Cronbach’s alphas): CRNA-Anesthesiologist Relations (.753), CRNA-Physician Relations (.833), CRNA-Administration Relations (.895), Independent Practice (.830), Support for CRNA Practice (.683), and Professional Visibility (.772). Conclusions: Further refinement of the CRNA-OCQ is necessary. Measurement and assessment of CRNA organizational climate may produce evidence needed to improve provider and patient outcomes.
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Lindsay, Robin, and Helen Graham. "Relational Narratives: Solving an Ethical Dilemma Concerning an Individual’s Insurance Policy." Nursing Ethics 7, no. 2 (March 2000): 148–57. http://dx.doi.org/10.1177/096973300000700208.
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Decisions based on ethics confront nurses daily. In this account, a cardiac nurse struggles with the challenge of securing health care benefits for Justin, a patient within the American system of health care. An exercise therapy that is important for his well-being is denied. The patient’s nurse and an interested insurance agent develop a working relationship, resulting in a relational narrative based on Justin’s care. Gadow’s concept of a relational narrative and Keller’s concept of a relational autonomy guide this particular case. As an ethics framework influenced by feminist ethical theory, Gadow’s, Keller’s and Tisdale’s ideas demonstrate the fluidity with which the nurse and others can work while maintaining both autonomy and engagement without being self-sacrificing.
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Maxwell, Margaret, Carina Hibberd, Patricia Aitchison, Eileen Calveley, Rebekah Pratt, Nadine Dougall, Christine Hoy, Stewart Mercer, and Isobel Cameron. "The Patient Centred Assessment Method for improving nurse-led biopsychosocial assessment of patients with long-term conditions: a feasibility RCT." Health Services and Delivery Research 6, no. 4 (January 2018): 1–120. http://dx.doi.org/10.3310/hsdr06040.
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Background Annual reviews of people living with long-term conditions (LTCs) are mostly conducted by practice nurses (PNs), who focus on the physical needs of patients. The broader mental well-being and social needs of patients are also important if they are to live well. The Patient Centred Assessment Method (PCAM) is a new tool to help PNs conduct biopsychosocial assessments of patients’ needs. Research questions Is it feasible and acceptable to use the PCAM in primary care nurse-led reviews for those with LTCs? Is it feasible and acceptable to run a cluster randomised trial of the PCAM in primary care? Methods Four practitioner and two patient focus groups explored the acceptability and implementation requirements of the PCAM, which was then tested in a feasibility cluster randomised controlled trial aiming to recruit eight general practitioner (GP) practices and 16 nurses. Baseline data collection was conducted with nurses prior to randomisation, with a cohort of 10 patients per nurse, including patient demographics, patient evaluation of consultation, patient-completed outcomes (measured via the Consultation and Relational Empathy, Patient Enablement Instrument, Warwick–Edinburgh Mental Well-Being Scale, General Health Questionnaire and the Short Form questionnaire-12 items) and nurse referrals/signposting to services. Patient follow-up questionnaires were completed at 8 weeks. Practices were then randomised to the PCAM intervention or care as usual (CAU). Data collection was repeated for a second cohort of patients. Fidelity was tested by comparing a sample of recorded consultations before and after PCAM training. Qualitative interviews were conducted with PCAM nurses and a sample of patients. Results Approaches to 159 eligible practices resulted in the recruitment of six practices (10 nurses), with five practices (seven nurses) completing both data collection phases. Nurses collected baseline data on 113 patients, 71 of whom (62.8%) completed follow-up questionnaires. Five practices were randomised: three practices (six nurses) to the PCAM arm and two practices (four nurses) to the CAU arm. In phase 2, seven nurses collected data on 77 patients, of whom 40 (52%) completed follow-up. Only four PCAM nurses agreed to recording consultations, with five pre- and four post-PCAM recordings obtained. Post PCAM training, there was evidence of more attention being given to patients’ mental well-being and social issues. The PCAM was fairly easily integrated into consultation, although some nurses reflected that this benefited from early support. Patients were not always aware of its use, but most were happy to have their needs assessed. Limitations Recruitment of GP practices, and nurse recruitment and retention. Conclusions The PCAM is feasible and acceptable for use by primary care nurses and may have potential for encouraging biopsychosocial assessment of patients. Efforts required to recruit and retain staff indicate that a full trial is not feasible or cost-effective at this time. Future work The PCAM intervention warrants further exploration as an effective mechanism for improving care for people with LTCs; this could be conducted within an implementation study. Trial registration Current Controlled Trials ISRCTN98973169. Funding This project was funded by the National Institute for Health Research (NIHR) Health Services and Delivery Research programme and will be published in full in Health Services and Delivery Research Vol. 6, No. 4. See the NIHR Journals Library website for further project information.
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BENNETT, JILL A. "Maintaining and Improving Physical Function in Elders." Annual Review of Nursing Research 20, no. 1 (January 2002): 3–33. http://dx.doi.org/10.1891/0739-6686.20.1.3.
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This chapter reviews 60 published research reports about maintaining and improving physical function in elders. Reports were identified through searches of MEDLINE and CINAHL using the following search terms: Activities of Daily Living, aged, nursing care, nurse-patient relations, geriatric nursing, nursing assessment, geriatric assessment, behavior therapy, disability evaluation, exercise, and physical. Reports were included if published in English between 1985 and 2000, if conducted in adults over age 60, and if the first author was a nurse or the reported intervention was implemented by nurses. Descriptive and experimental studies of physical function in elders were included. The results of this synthesis showed that nurse scientists have developed new instruments to measure physical function, including scales sensitive to changes in physical function caused by dementia. Nursing studies have described many of the physical and psychological factors associated with poor physical function in elders, though environmental factors and ethnic differences in physical function merit further study. Many nurse scientists are currently investigating behavioral interventions, exercise interventions, and changes in nursing care that could improve the physical function of both community-dwelling elders and those who live in residential facilities.
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Friese, C. R., and L. H. Aiken. "Surgical oncology outcomes: The role of nurse practice environments." Journal of Clinical Oncology 24, no. 18_suppl (June 20, 2006): 6105. http://dx.doi.org/10.1200/jco.2006.24.18_suppl.6105.
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6105 Background: Increased attention has focused on the role of hospital characteristics on cancer patient outcomes. We examined two cancer-specific credentials, as well registered nurse practice environments, on outcomes of care. Methods: Through secondary analysis of existing data from hospital claims, the tumor registry, and a statewide of survey of nurses (RNs), we studied 30-day mortality (D) and failure to rescue (death given a complication) (FTR) for surgical oncology patients treated in 164 Pennsylvania hospitals from 1998–1999 (N=24,618). We compared D and FTR rates by a hospital’s NCI cancer center designation, American College of Surgeon’s (ACoS) cancer program approval and categorized scores on the Practice Environment Scale of the Nursing Work Index (PES-NWI). The PES-NWI scales measure RN participation in hospital affairs, RN foundations for quality of care, nurse manager leadership/support, staffing/resource adequacy, and RN-physician relations. Multivariate logistic regression models examined predictors of D and FTR, controlling for 25 patient variables. Standard errors were corrected for patient clustering in hospitals. Results: NCI centers had lower D and FTR rates (p < .01). ACoS hospitals had lower D and FTR rates (ns). Hospitals with low scores on PES-NWI scales had the poorest outcomes (p < .01). In logistic regression models, significant predictors included unfavorable PES-NWI Scores for D (OR=1.32, 95% CI: 1.06–1.65) and FTR (OR=1.39, 95% CI:1.03–1.88), and NCI centers for D (OR=0.64, 95% CI: 0.50–0.83) and FTR (OR=0.67, 95% CI: 0.47–0.96). The NCI effect lost significance when environment was included. ACoS program effects were small (OR= 0.99, p = .90) for both outcomes. Conclusions: Favorable outcomes in NCI centers may be partly explained by practice environments. The practice environment of RNs significantly predicts surgical oncology patient outcomes, and should be a focus of quality improvement activities. No significant financial relationships to disclose.
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Wlodarczyk, Dorota, and Magdalena Lazarewicz. "Frequency and burden with ethical conflicts and burnout in nurses." Nursing Ethics 18, no. 6 (October 5, 2011): 847–61. http://dx.doi.org/10.1177/0969733011408053.
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Many studies examine a stressors-professional burnout (PB) relation, but only few consider the role of ethical conflicts (ECs) in this context. The aim of this study was to characterize ECs' frequency and level of burden with them among nurses and to establish the relations between ECs' frequency, burden and PB. One hundred nurses participated in this study. ECs' frequency and burden were tested with an originally developed questionnaire. PB was examined with Maslach Burnout Inventory. Most frequent ECs concerned a nurse-patient relationship. PB was positively related to ECs' frequency ( r = .54; p = .001) and burden ( r = .22; p = .03). Frequency of specific conflict did not imply burden with it and vice versa. ECs' frequency seems more important for PB than a level of burden with them. The most frequent and the most burdening conflicts may lead to development of PB but the less frequent and less burdening ones are also dangerous.
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Charalambous, Andreas, E. Papastavrou, K. Valkeapää, A. Zabalegui, B. Ingadóttir, C. Lemonidou, N. Fatkulina, K. Jouko, and H. Leino-Kilpi. "Content of Orthopedic Patient Education Provided by Nurses in Seven European Countries." Clinical Nursing Research 27, no. 7 (July 9, 2017): 770–89. http://dx.doi.org/10.1177/1054773817713178.
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Patients’ and their significant others’ education during the perioperative phase is an important and challenging aspect of care. This study explored the content of education provided by nurses to arthroplasty patients and their significant others. Data were collected with the Education of Patients–NURSE content (EPNURSE-Content), Received Knowledge of Hospital Patient (RKhp), and Received Knowledge of Significant Other (RKso) scales. The results showed that the content of education emphasized biophysiological and functional needs, differed between countries, and was related to how physically demanding nurses found their job to be and the amount of education provided. There is congruence between the received knowledge of patients and their significant others in relation to the content of education provided by nurses. The findings can support nurses in developing aid material for patients and significant others explaining the nature of education and advising them what to expect and how to optimize their participation in the process.
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Honikman, Simone, Sally Field, and Sara Cooper. "The Secret History method and the development of an ethos of care: Preparing the maternity environment for integrating mental health care in South Africa." Transcultural Psychiatry 57, no. 1 (May 8, 2019): 173–82. http://dx.doi.org/10.1177/1363461519844640.
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South Africa, like many low-and-middle-income countries, is integrating mental health services into routine Primary Health Care (PHC) through a task-shifting approach to reduce the gaps in treatment coverage. There is concern, however, that this approach will exacerbate nurses’ abuse of patients currently common within PHC in the country. To address this concern, the Perinatal Mental Health Project developed its Secret History method, a critical pedagogical intervention for care-providers working within maternity settings. This article describes the method’s theoretical underpinnings and practical application amongst nurses. Drawing on Augusto Boal’s Theatre of the Oppressed and contrary to traditional nursing training in South Africa, the method creates a space for nurses to interrogate and reimagine nurse–patient relations. By introducing nurses to a counter ideology of empathic care, the method seeks to prepare the maternity environment for mental health task-shifting initiatives and ensure these initiatives are more democratic, responsive and humane.
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Brofidi, Kalliopi, Konstantinos Vlasiadis, and Anastas Philalithis. "Assessment of the nursing practice environment in Greek Hospitals: a cross-sectional study." Journal of Research in Nursing 23, no. 6 (August 12, 2018): 535–45. http://dx.doi.org/10.1177/1744987118788705.
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Background The organisational characteristics of the nursing practice environment play a crucial role in nurses’ job satisfaction, job retention, quality-of-care service provision and patient outcomes. The widely used Practice Environment Scale of the Nursing Work Index assesses the favourability of these traits, showing the grade of magnetism of these factors in the workplace. Aims and methods This study aims to assess the nurse working environment at five public hospitals in Greece, and to compare these data with those of Magnet and non-Magnet hospitals. The Practice Environment Scale of the Nursing Work Index was completed by 532 nurses. Results Findings have shown that all five hospitals were assessed by nurses as unfavourable working environments. Four of five subscales were identified as unfavourable by the participants and only Collegial Nurse-Physician Relations were evaluated as a positive organisational trait. The mean scores in all five subscales of favourability were significantly lower than the corresponding scores of non-Magnet hospitals in the US. Conclusions The present study shows the favourability grade of Greek hospitals. When compared with Magnet and non-Magnet hospitals in the US, Greek hospitals were perceived as more unfavourable than non-Magnet hospitals. Action to improve the current situation must be taken by hospital management, supporting nurse involvement, continuous education, changing human resources management and adopting evaluation procedures.
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Sampson, Deborah A. "Alliances of Cooperation: Negotiating New Hampshire Nurse Practitioners’ Prescribing Practice." Nursing History Review 17, no. 1 (January 2009): 153–78. http://dx.doi.org/10.1891/1062-8061.17.153.
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Nurse practitioner legislation varies among states, particularly in relation to practice without physician oversight, altering the legal environment within which nurse practitioners can use knowledge and skills to meet patient needs. Using New Hampshire as a case study, this historical analysis of nurse practitioners’ negotiations over time for independent practice, defined in state practice acts, illuminates the complex social and economic factors affecting nurses’ struggle to gain legal rights over their own professional practice without supervision and intervention from another profession. In New Hampshire, not only did organized medicine oppose nurses’ rights to practice, but pharmacists demanded the right to control all aspects of medication management, including who could prescribe and under what circumstances prescribing could occur. Shifting social and political terrain as well as changes in legislative and state professional board leadership affected the environment and negotiations of a small group of nurses who were ultimately successful in obtaining the right to define their own professional practice.
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Shacklock, Kate, Yvonne Brunetto, and Rod Farr-Wharton. "The impact of supervisor-nurse relationships, patient role clarity, and autonomy upon job satisfaction: Public and private sector nurses." Journal of Management & Organization 18, no. 5 (September 2012): 659–72. http://dx.doi.org/10.1017/s1833367200000596.
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AbstractIn the Australian healthcare sector, many changes in the public sector have affected nurse management and thereby, nurses. Yet it is unclear whether such efficiency measures, based on private sector business models, have impacted private sector nurses in similar ways. This paper examines four important issues for nurses: supervisor–subordinate relationships; perceptions of autonomy; role clarity in relation to patients; and job satisfaction. The paper uses an embedded mixed methods research design to examine the four issues and then compares similarities and differences between public and private sector nurses. The findings suggest supervisor–subordinate relationships, patient role clarity and autonomy significantly predict job satisfaction. The private sector nurses reported more satisfaction than public sector nurses with their supervisor–subordinate relationships, plus higher perceptions of patient role clarity and autonomy, and hence, higher levels of job satisfaction. The findings raise questions about whether present management practices (especially public sector) optimise service delivery productivity.
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Shacklock, Kate, Yvonne Brunetto, and Rod Farr-Wharton. "The impact of supervisor-nurse relationships, patient role clarity, and autonomy upon job satisfaction: Public and private sector nurses." Journal of Management & Organization 18, no. 5 (September 2012): 659–72. http://dx.doi.org/10.5172/jmo.2012.18.5.659.
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AbstractIn the Australian healthcare sector, many changes in the public sector have affected nurse management and thereby, nurses. Yet it is unclear whether such efficiency measures, based on private sector business models, have impacted private sector nurses in similar ways. This paper examines four important issues for nurses: supervisor–subordinate relationships; perceptions of autonomy; role clarity in relation to patients; and job satisfaction. The paper uses an embedded mixed methods research design to examine the four issues and then compares similarities and differences between public and private sector nurses. The findings suggest supervisor–subordinate relationships, patient role clarity and autonomy significantly predict job satisfaction. The private sector nurses reported more satisfaction than public sector nurses with their supervisor–subordinate relationships, plus higher perceptions of patient role clarity and autonomy, and hence, higher levels of job satisfaction. The findings raise questions about whether present management practices (especially public sector) optimise service delivery productivity.
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Vilstrup, Emil, Dennis Schou Graversen, Linda Huibers, Morten Bondo Christensen, and Anette Fischer Pedersen. "Communicative characteristics of general practitioner-led and nurse-led telephone triage at two Danish out-of-hours services: an observational study of 200 recorded calls." BMJ Open 9, no. 6 (June 2019): e028434. http://dx.doi.org/10.1136/bmjopen-2018-028434.
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ObjectivesOut-of-hours (OOH) telephone triage is used to manage patient flow, but knowledge of the communicative skills of telephone triagists is limited. The aims of this study were to compare communicative parameters in general practitioner (GP)-led and nurse-led OOH telephone triage and to discuss differences in relation to patient-centred communication and safety issues.DesignObservational study.SettingTwo Danish OOH settings: a large-scale general practitioner cooperative in the Central Denmark Region (n=100 GP-led triage conversations) and Medical Helpline 1813 in the Capital Region of Denmark (n=100 nurse-led triage conversations with use of a clinical decision support system).Participants200 audio-recorded telephone triage conversations randomly selected.Primary and secondary outcome measuresConversations were compared with regard to length of call, distribution of speaking time, question types, callers’ expression of negative affect, and nurses’ and GPs’ responses to callers’ negative affectivity using the Mann-Whitney U test and the Student’s t-test.ResultsCompared with GPs, nurses had longer telephone contacts (137s vs 264 s, p=0.001) and asked significantly more questions (5 vs 9 questions, p=0.001). In 36% of nurse-led triage conversations, triage nurses either transferred the call to a physician or had to confer the call with a physician. Nurses gave the callers significantly more spontaneous talking time than GPs (23.4s vs 17.9 s, p=0.01). Compared with nurses, GPs seemed more likely to give an emphatic response when a caller spontaneously expressed concern; however, this difference was not statistically significant (36% vs 29%, p=0.6).ConclusionsWhen comparing communicative parameters in GP-led and nurse-led triage, several differences were observed. However, the impact of these differences in the perspective of patient-centred communication and safety needs further research. More knowledge is needed to determine what characterises good quality in telephone triage communication.
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Rouleau, Geneviève, Jérôme Pelletier, José Côté, Marie-Pierre Gagnon, Valérie Martel-Laferrière, Rock Lévesque, and Guillaume Fontaine. "Codeveloping a Virtual Patient Simulation to Foster Nurses’ Relational Skills Consistent With Motivational Interviewing: A Situation of Antiretroviral Therapy Nonadherence." Journal of Medical Internet Research 22, no. 7 (July 15, 2020): e18225. http://dx.doi.org/10.2196/18225.
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Background Although helping people living with HIV manage their antiretroviral therapy is a core competency of HIV nursing care, no educational intervention has sought to strengthen this competency. Thus, we codeveloped a simulation of a virtual patient (VP) having difficulty adhering to treatment to foster the relational skills that nurses require in such situations. Objective This viewpoint paper aims to describe the codevelopment process and the content of VP simulation, as well as the challenges encountered and the strategies used to overcome them. Methods We use a collaborative and iterative approach to develop the simulation based on qualitative evidence, theoretical approaches (strengths-based nursing, motivational interviewing [MI], and adult learning theories), and expert recommendations. We carried out 2 main phases: (1) planning the simulation development and (2) designing the simulation content, sequence, and format. We created the script as if we were writing a choose-your-own-adventure book. All relational skills (behavior change counseling techniques derived from MI) were integrated into a nurse-patient dialogue. The logic of the simulation is as follows: if the nurse uses techniques consistent with MI (eg, open-ended questions, summarizing), a dialogue is opened up with the VP. If the nurse uses relational skills inconsistent with MI (eg, providing advice without asking for permission), the VP will react accordingly (eg, defensively). Learners have opportunities to assess and reflect on their interventions with the help of quizzes and feedback loops. Results Two main challenges are discussed. The most salient challenge was related to the second phase of the VP simulation development. The first was to start the project with divergent conceptions of how to approach the VP simulation—the simulation company’s perspective of a procedural-type approach versus the clinical team’s vision of a narrative approach. As a broad strategy, we came to a mutual understanding to develop a narrative-type VP simulation. It meshed with our conception of a nurse-patient relationship, the values of strengths-based nursing (a collaborative nurse-patient relationship), and the MI’s counseling style. The second challenge was the complexity in designing realistic relational skills in preprogrammed and simulated nurse-patient dialogue while preserving an immersive learning experience. As a broad strategy, we created a collaborative and work-in-progress writing template as a shared working tool. Conclusions Our experience may be helpful to anyone looking for practical cues and guidance in developing narrative VP simulations. As relational skills are used by all nurses—from novices to experts—and other health care practitioners, focusing on this clinical behavior is a good way to ensure the simulation’s adaptability, sustainability, and efficiency.