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Thomas, Diane, Patricia Newcomb e Phylann Fusco. "Perception of Caring Among Patients and Nurses". Journal of Patient Experience 6, n.º 3 (21 de agosto de 2018): 194–200. http://dx.doi.org/10.1177/2374373518795713.
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Background: Empirical evidence supports the contention that implementing caring nurse behaviors results in improved patient experience; however, previous studies find differences between patient and nurse perceptions of caring. Significance: Good patient experience is positively related to desired clinical and financial outcomes. Nurse caring is a critical component in the patient experience. Objective: The purposes of this project were to evaluate the congruency between nurse and patient perceptions of nurse caring in a long-term acute care hospital and to determine how much patient perception of nurse caring changes over time. Method: The study employed mixed methods using a triangulation strategy in which quantitative data from patients and qualitative data from nurses were collected simultaneously and compared for interpretation. Results: Time affected patient perception of caring significantly. Patients and nurses disagreed about the extent to which nurses ask patients what they know about their illnesses, help them deal with bad feelings, and make them feel comfortable. Conclusion: Patients and nurses do not always agree about the quality of caring behaviors, but exposure to nurses over time positively affects patient perception of nurse caring.
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Wainwright, Laura D., Katherine Berry, Charlotte Dunster-Page e Gillian Haddock. "Patient social functioning in acute mental health inpatient wards: the role of emotional regulation, attachment styles and nurse–patient relationships". British Journal of Mental Health Nursing 10, n.º 4 (2 de novembro de 2021): 1–13. http://dx.doi.org/10.12968/bjmh.2018.0009.
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Background/aims Improvement in social functioning is an important aspect of recovery from severe mental health problems. Nurses on acute mental health wards play an important role in facilitating this recovery. Therefore, it is important to explore potential predictors of social functioning and the quality of nurse–patient relationships. The aim of this study was to explore associations between patient social functioning, nurse–patient therapeutic alliances, emotional regulation, attachment style and nurse distress in acute mental health settings. Methods: A questionnaire-based, cross-sectional approach with correlational and regression analyses was used for this study. A total of 50 nurse–patient dyads in acute mental health inpatient wards across four NHS trusts in the north-west of England took part. Patients and nurses completed questionnaires regarding demographic information, emotional regulation, attachment style and alliance. Nurses also rated patient social functioning and their own distress. Results The patient anxious attachment style was associated with difficulties in regulating emotions. Patient emotional regulation, patient insecure attachment and the patient-rated alliance predicted nurse-rated patient social functioning. Nurse emotion regulation, nurse insecure attachment style and nurse-rated alliance did not significantly predict nurse-rated patient social functioning and correlations were non-significant. Nurse distress was associated with nurse emotion regulation, nurse anxious attachment and nurse-rated alliance. These factors significantly predicted nurse distress. Conclusions: Patient social functioning is predicted by emotion regulation, attachment and alliance. Similarly, nurse distress is predicted by nurse emotion regulation, attachment style and alliance. Interventions targeting emotion regulation or attachment-informed wards would be beneficial.
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Ding, Bin, Wei Liu, Sang-Bing Tsai, Dongxiao Gu, Fang Bian e Xuefeng Shao. "Effect of Patient Participation on Nurse and Patient Outcomes in Inpatient Healthcare". International Journal of Environmental Research and Public Health 16, n.º 8 (15 de abril de 2019): 1344. http://dx.doi.org/10.3390/ijerph16081344.
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Using service-dominant logic as a theoretical lens, this study investigated the co-production of healthcare service and service value co-creation between nurses and patients. The main objective of this study was to: (1) examine the effect of patient participation on patient satisfaction and nurses’ attitudes and behaviors; (2) examine boundary conditions of the effect of patient participation on patients and nurses. We proposed that patient participation positively impacted patient satisfaction and nurse job satisfaction, work engagement, and helping behaviors. We further proposed that first inpatient stay and length of stay moderated the effect of patient participation on patient satisfaction, and nurses’ sociodemographic characteristics moderated the effect of patient participation on nurse job satisfaction, work engagement, and helping behaviors. Using survey data from 282 nurses and 522 inpatients from a public hospital in China, we found that the effect of patient participation on patient satisfaction was contingent upon first inpatient stay and length of stay. We also found that patient participation improved nurse job satisfaction, work engagement, and helping behaviors. Furthermore, nurses’ sociodemographic characteristics, namely age and organizational tenure, moderated the effect of patient participation on nurse job satisfaction, but not on work engagement and helping behaviors. Theoretical and practical implications of our findings were discussed.
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Rachmawaty, Rini, Wahid Hasyim Alkanda e Andi Masyitha Irwan. "Identifying Nurse and Patient Satisfaction with Handover Implementation". JOSING: Journal of Nursing and Health 3, n.º 2 (31 de janeiro de 2023): 171–78. http://dx.doi.org/10.31539/josing.v3i2.5040.
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This study aims to assess nurse and patient satisfaction with how handoffs are handled. The methodology used is literature review. The Cochrane, PubMed, Ebsco, and Garuda Libraries are included in the Cochrane, PubMed, Ebsco, and Garuda Libraries. Each article discusses how surrender techniques affect nurse and patient satisfaction. Patients and nurses can benefit from different types of handover between shifts, rooms, and units, handover between nurses and nursing students, and SBAR (situation, background, assessment, and recommendations) communication techniques. Handover implementation can have a positive impact on patients and nurses, increase the knowledge of nurses and patients, and reduce malpractice cases.Keywords: Handover, Nurse Satisfaction, Patient Satisfaction
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Alshehry, Abdualrahman Saeed. "Nurse–Patient/Relatives Conflict and Patient Safety Competence Among Nurses". INQUIRY: The Journal of Health Care Organization, Provision, and Financing 59 (janeiro de 2022): 004695802210931. http://dx.doi.org/10.1177/00469580221093186.
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Nurse–patient/relatives conflicts may adversely impact the well-being and work performance of nurses, which could prelude to the possibility of unwanted errors thereby threatening patient safety. This descriptive and cross-sectional study aimed to examine the association between nurses’ perceived nurse–patient/family conflicts and their perceived patient safety (PS) competence. Nurse–patient/relatives conflicts are critical issues that may adversely impact the nurses’ well-being, which could prelude to unwanted errors, thereby threatening PS. The study surveyed 320 nurses in Saudi Arabia using the “Healthcare Conflict Scale” and “Health Professional Education in Patient Safety Survey” from December 2019 to January 2020. The subscale “mistrust of motivations” was perceived to have the greatest conflict, whereas “contradictory communication” was rated as the lowest conflict. A significant difference was observed between the perceived conflict and the different hospital units where nurses worked. Saudi nurses reported higher nurse–patient/family conflicts than Filipino and Indian nurses. The highest PS competence was reported in “communicating effectively,” whereas “working in teams with other health professionals” had the poorest safety competence. The nurses’ perceived “mistrust of motivations” and “contradictory communication” were associated with poorer self-reported PS competence. Perceived conflicts between nurses and their patients/relatives had negative association with the perceived confidence of nurses in the difference patient safety competencies. The results can become the basis for formulating hospital policies geared toward the elimination of healthcare conflicts to help ensure the patient safety competence of nurses. Policies on mitigating conflicts between healthcare workers and patients/relatives must be created and implemented.
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Gergova, Polya, Stela Georgieva e Eleonora Mineva-Dimitrova. "ESTABLISHMENT OF A THERAPEUTIC RELATIONSHIP NURSE-PATIENT AT PATIENTS WITH ONCOLOGY DISEASES". Journal of IMAB - Annual Proceeding (Scientific Papers) 30, n.º 2 (22 de maio de 2024): 5538–41. http://dx.doi.org/10.5272/jimab.2024302.5538.
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Introduction: Care for patients with oncology diseases is a specific area of competence in nursing. The nurse, as part of an interdisciplinary team, has an essential role in organizing, planning, implementing and evaluating the results of patient clinical care. The study aimed to investigate patients' and nurses' opinions on the role of the nurse-patient relationship in improving the quality of care. Material and methods: Data were collected by direct individual self-administered questionnaire among 49 nurses and a "face to face" semi-structured interviewwith 67 patients in five departments. Data were processed with the statistical program Microsoft Office Excel 2015 и SPSS v.21. Results: The idea of the therapeutic relationship "nurse-patient" was examined from the view point of both patients and nurses. More than half of the patients (53,7%) arrange as particularly important nurse skills to relieve physical pain, followed by 40,3% to inspire confidence and hope and 35,8% - the ability to listen and give advice. One in 10 patients expects to be included as a decision-making partner in planning care; every fifth patient expects information from the nurse according to her competence. Professional ethics and the relationship "nurse-patient" was evaluated by 55,2% of patients as excellent. All nurses (100%) underlie the principles of the therapeutic relationship, regardless of the length of the contact are respect, genuineness, empathy, active listening, trust, and confidentiality. Conclusion: The nurse-patient relationship is a common responsibility of both: nurses and patients. Both groups evaluated the importance of its components for mutual satisfaction in such communication.
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Nadeau, Katie, Kerri Pinner, Katie Murphy e Kristin M. Belderson. "Perceptions of a Primary Nursing Care Model in a Pediatric Hematology/Oncology Unit". Journal of Pediatric Oncology Nursing 34, n.º 1 (7 de julho de 2016): 28–34. http://dx.doi.org/10.1177/1043454216631472.
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The primary nursing care model optimizes relationship-based care. Despite using a primary nursing model on a pediatric hematology/oncology inpatient unit, it was hypothesized patients and nurses were dissatisfied with the structure of primary care teams and inconsistency of primary assignments. The purpose of this study was to evaluate patient/family and nurse perceptions of our current care model through assessing gaps in its operationalization and satisfaction. This study used a descriptive cross-sectional design featuring patient/family and nurse surveys. Of the 59 patient/family respondents, 93.2% prefer to have a primary nurse care for them and 85% are satisfied with how often they are assigned a primary care team member. Similarly, 63% of the 57 nurse respondents are satisfied with the current implementation of our primary nursing model and 61% state the model reflects good continuity of care. Yet 80.7% of nurses believe safety would improve for a patient whose nurse works shifts consecutively even if not a primary nurse. Overall, patients, families, and nurses value care continuity and meaningful nurse–patient relationships, which is fundamental to primary nursing.
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Twigg, Di, Christine Duffield, Peter L. Thompson e Pat Rapley. "The impact of nurses on patient morbidity and mortality - the need for a policy change in response to the nursing shortage". Australian Health Review 34, n.º 3 (2010): 312. http://dx.doi.org/10.1071/ah08668.
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Context.Workforce projections indicate that by 2012 there will be a shortfall of 61 000 registered nurses in Australia. There is a growing body of evidence that links registered nurse staffing to better patient outcomes. Purpose.This article provides a comprehensive review of the research linking nurse staffing to patient outcomes at a time of growing shortages, highlighting that a policy response based on substituting registered nurses with lower skilled workers may have adverse effects on patient outcomes. Method.An electronic search of articles published in English using the Cumulative Index to Nursing and Allied Health Literature (CINAHL), Journals @ OVID and Medline was undertaken. Findings.Robust evidence exists nationally and internationally that links nurse staffing to patient outcomes. Recent meta-analyses have found that there was a 3–12% reduction in adverse outcomes and a 16% reduction in the risk of mortality in surgical patients with higher registered nurse staffing. Evidence confirms that improvements in nurse staffing is a cost-effective investment for the health system but this is not fully appreciated by health policy advisors. Conclusions.An appropriate policy response demands that the evidence that patient safety is linked to nurse staffing be recognised. Policy makers must ensure there are sufficient registered nurses to guarantee patient safety. What is known about the topic?Projections indicate that by 2012 there will be an estimated shortfall of 61 000 registered nurses in Australia. However, research demonstrates the number of registered nurses caring for patients is critically important to prevent adverse patient outcomes. Evidence also confirms that improvements in nurse staffing is a cost-effective investment for the health system. What this paper adds?The paper exposes the lack of an appropriate policy response to the evidence in regard to nurse staffing and patient outcomes. It argues that patient safety must be recognised as a shared responsibility between policy makers and the nursing profession. What are the implications for practitioners?Policy makers, health departments, Chief Executives and Nurse Leaders need to ensure that adequate nurse staffing includes a high proportion of registered nurses to prevent adverse patient outcomes.
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Rajcan, Lois, Joan Such Lockhart e Linda M. Goodfellow. "Generating Oncology Patient Trust in the Nurse: An Integrative Review". Western Journal of Nursing Research 43, n.º 1 (janeiro de 2020): 85–98. http://dx.doi.org/10.1177/0193945920930337.
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An integrative review was conducted to evaluate the extent and quality of literature regarding adult oncology patients’ trust in nurses. Nineteen studies met the inclusion criteria. Three themes were identified, which are as follows: nurse trust facilitating behaviors, nurse attributes, and the influence of patient-nurse trust on health and psychosocial well-being. Findings indicate that the extent of literature is limited in specific examples of nurse interventions that facilitate interpersonal patient-nurse trust. Future research should include more detailed nurse actions and attributes that build patient-nurse trust to fully understand the benefits of trust in oncology patients.
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Albishri, Ahmed Musaed. "The Relationship between Nurse Burnout, Job Satisfaction, and Patient Care Quality". Journal of Medical Science And clinical Research 11, n.º 11 (30 de novembro de 2023): 65–69. http://dx.doi.org/10.18535/jmscr/v11i11.08.
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Nurse burnout, job satisfaction, and patient care quality are intertwined aspects within the healthcare sector. This research explores the complex relationship among these variables Nurse burnout, characterized by emotional exhaustion, depersonalization, and diminished personal growth, has become a growing concern in healthcare. High levels of burnout often result in diminished job satisfaction among nurses. Job satisfaction, in turn, influences the quality of patient care provided. Research shows that nurse burnout negatively affects the quality of patient care, leading to increased medical errors and decreased patient satisfaction. Conversely, higher job satisfaction among nurses is associated with improved patient outcomes, including better adherence to clinical protocols, improved communication, and patients’ overall well-being Appropriate This study emphasizes the importance of addressing nurse burnout and promoting job satisfaction as a key component of excellence healthcare facilities. Keywords: Nurse burnout, job satisfaction, patient care quality, patient satisfaction, healthcare organizations.
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Hasnah, Hasnah, Hapsah Hapsah, Silvia Malasari, Ariyanti Saleh e Akbar Harisa. "NURSES’ EXPERIENCE OF DEALING WITH PATIENTS’ AGGRESSIVE BEHAVIOUR IN PSYCHIATRIC EMERGENCY WARD OF HOSPITAL IN SOUTH SULAWESI". Indonesian Contemporary Nursing Journal (ICON Journal) 3, n.º 1 (30 de agosto de 2018): 39. http://dx.doi.org/10.20956/icon.v3i1.3982.
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Introduction: The high level of risk emergency psychiatry nurse becomes the target of aggressive behavior in patients both physically and psychologically, providing a special experience for nurses. Positive and negative impacts felt more likely a psychological effect on the nurse. Objective: Identifying the experiences of nurses dealing with patient of aggressive behavior in Emergency Psychiatric of Rumah Sakit Khusus Daerah Provinsi Sulawesi Selatan. Methods: The phenomenological approach to decision informants using purposive sampling with the informant as much as 9 informants who have experienced aggressive behavior from patients. Results: There were 7 themes obtained by the feelings of nurses with aggressive behavior patients, nurses experienced different kinds of aggressive behavior, nurses identified about the causes of the patient's aggressive behavior, nurse found some signs of the patient while being aggressive, nurses perceived impact of agresive behavior after getting the incident of it, the way nurses treated patients aggressive behavior, and nurses found obstacle to overcome aggressive behavior's patient. The positive experience of nurses in dealing with patient of aggressive behavior was nurse know the proper ways, causes and signs of the patient while being aggressive so the nurse was able to anticipate the action will be carried out. On the other hand the negative experience felt by the nurse due to the impacts of the aggressive behavior patients. Conclusions and: The experience felt by nurses in dealing with patients in Psychiatric Emergency Unit of Rumah Sakit Khusus Daerah Provinsi Sulawesi Selatan there were positive and negative. Therefore, we need a way to reduce aggressive behavior and provide management training for nurses in dealing with aggressive behavior in order to keep patients safely.
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Ana Raquel, Braga, e 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, n.º 1 (11 de fevereiro de 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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McHugh, Matthew D., Linda H. Aiken, Carol Windsor, Clint Douglas e Patsy Yates. "Case for hospital nurse-to-patient ratio legislation in Queensland, Australia, hospitals: an observational study". BMJ Open 10, n.º 9 (setembro de 2020): e036264. http://dx.doi.org/10.1136/bmjopen-2019-036264.
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ObjectivesTo determine whether there was variation in nurse staffing across hospitals in Queensland prior to implementation of nurse-to-patient ratio legislation targeting medical-surgical wards, and if so, the extent to which nurse staffing variation was associated with poor outcomes for patients and nurses.DesignAnalysis of cross-sectional data derived from nurse surveys linked with admitted patient outcomes data.SettingPublic hospitals in Queensland.Participants4372 medical-surgical nurses and 146 456 patients in 68 public hospitals.Main outcome measures30-day mortality, quality and safety indicators, nurse outcomes including emotional exhaustion and job dissatisfaction.ResultsMedical-surgical nurse-to-patient ratios before implementation of ratio legislation varied significantly across hospitals (mean 5.52 patients per nurse; SD=2.03). After accounting for patient characteristics and hospital size, each additional patient per nurse was associated with 12% higher odds of 30-day mortality (OR=1.12; 95% CI 1.01 to 1.26). Each additional patient per nurse was associated with poorer outcomes for nurses including 15% higher odds of emotional exhaustion (OR=1.15; 95% CI 1.07 to 1.23) and 14% higher odds of job dissatisfaction (OR=1.14; 95% CI 1.02 to 1.28), as well as higher odds of concerns about quality of care (OR=1.12; 95% CI 1.01 to 1.25) and patient safety (OR=1.32; 95% CI 1.11 to 1.57).ConclusionsBefore ratios were implemented, nurse staffing varied considerably across Queensland hospital medical-surgical wards and higher nurse workloads were associated with patient mortality, low quality of care, nurse emotional exhaustion and job dissatisfaction. The considerable variation across hospitals and the link with outcomes suggests that taking action to improve staffing levels was prudent.
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Tomar, Rahul, Tina Jakovljevic e Neil Brimblecombe. "Psychiatrists' and nurses' views of mental health nurse supplementary prescribing: a survey". Psychiatric Bulletin 32, n.º 10 (outubro de 2008): 364–65. http://dx.doi.org/10.1192/pb.bp.107.016931.
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Aims and MethodA questionnaire survey of psychiatrists and mental health nurses was conducted to look at their awareness of nurse supplementary prescribing and its impact on patient care.ResultsResponse rate was 49.5% for psychiatrists and 23% for nurses. Most nurses (96.2%) and psychiatrists (91%) were aware of nurse supplementary prescribing, but more nurses than psychiatrists felt that it will provide patients quicker access to medication (P=0.023) and improve patient care (P=0.0003). Although two-thirds of the nurses felt confident to be a nurse prescriber, only 13% had actually approached a psychiatrist to be their supervisor. Most psychiatrists (54.4%) did not feel confident to act as supervisors.Clinical ImplicationsUnlike nurses, psychiatrists were cautious about potential benefits of nurse supplementary prescribing on patient care. Both nurses and psychiatrists expressed concerns. As the expansion of nurse prescribing occurs, it is important for trusts to work actively with nurses and psychiatrists to address these concerns.
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Muhith, Abdul, e Nursalam Nursalam. "Quality of Nursing Care Based on Analysis of Nursing Performance and Nurse and Patient Satisfaction". Jurnal Ners 7, n.º 1 (2 de abril de 2017): 47–55. http://dx.doi.org/10.20473/jn.v7i1.3998.
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Introduction: Nurses who frequently often contact to patients and most of their time serve patients in 24 hours, have an important role in caring for the patient. Patient satisfaction as quality indicator is the key success for competitiveness of service in hospital. The aim of this research was to develop nursing service quality model based on the nursing performance, nurse and patient satisfaction.Methods: The research method used cross sectional study, at 14 wards of Gresik Hospital. Research factors were namely: oganization characteristic (organization culture and leadership), work factors (feedback and variety of nurses work), nurse characteristics (motivation, attitude, commitment and mental model), nursing practice, interpersonal communication, nurse and patient satisfaction. Statistical analysis of study data was analyzed by Partial Least Square (PLS).Results: The results of nursing performance revealed that nurse characteristic were not affected by organization culture and leadership style, nurse characteristics were affected by work factors, nurse characteristics affected nursing quality service (nursing practice, nursing professional, nurse and patient satisfaction), nurse satisfaction did not affect nursing professionals.Conclusion: Based on the overall results of the development of nursing care model that was originally only emphasizes the process of nursing care only, should be consider the input factor of organizational characteristics, job characteristics, and characteristics of individual nurses and consider the process factors of nursing care standards and professional performance of nurses and to consider the outcome factors nurse and patient satisfaction. So in general the development model of quality of existing nursing care refers to a comprehensive system of quality.
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Zhu, Xiaowen, Jing Zheng, Ke Liu e Liming You. "Rationing of Nursing Care and Its Relationship with Nurse Staffing and Patient Outcomes: The Mediation Effect Tested by Structural Equation Modeling". International Journal of Environmental Research and Public Health 16, n.º 10 (14 de maio de 2019): 1672. http://dx.doi.org/10.3390/ijerph16101672.
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Purpose: The purpose of this study is to test the mediation effect of rationing of nursing care (RONC) and the relationship this has between nurse staffing and patient outcomes. Methods: The analytic sample included 7802 nurse surveys and 5430 patient surveys. Three patient outcome indicators, nurse staffing, RONC, and confounding factors were considered in the model pathways. Results: The hypothesized model was shown to be statistically significant. In the model, nurses who were in the units with lower nurse-to-patient ratios reported higher scores on RONC, which meant that an increased level of withheld nursing care or a failure to carry out nursing duties was apparent. Nurses who reported a higher score on RONC, scored poorly on the quality assessment and were more frequently involved in patient adverse events. Nurse staffing influenced quality assessments and patient adverse events through RONC. In units with poorer nurse-reported quality assessments or more frequently patient adverse events, patient-reported dissatisfaction scores were higher. Conclusions: The results suggest that a lack of nurse staffing leads to RONC, which leads to poorer patient outcomes. These results are seen when considering the evaluations completed by both nurses and patients. The relationship between staffing numbers and patient outcomes explains the mediating role of RONC.
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Rahmawati, Rahmawati, e Nurus Sa’adah. "Komunikasi Terapeutik dalam Tinjauan Konseling Analisis Transaksional Perawat-Pasien". Islamic Counseling : Jurnal Bimbingan Konseling Islam 6, n.º 1 (29 de maio de 2022): 111. http://dx.doi.org/10.29240/jbk.v6i1.3598.
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The nurse-patient relationship in the communication process aims to solve the problems faced by nurses and patients is called therapeutic communication. This article discusses therapeutic communication in a review of nurse-patient transactional analysis counseling. Therapeutic communication is very important in nursing, nurse-patient communication aims to serve patients. Good therapeutic communication will build a trusting nurse-patient relationship. This study aims as a reference material for hospitals in order to implement good nurse-patient communication. This study uses the literature review method, the author only reads existing journals and then develops it into a writing. The result of this study is that therapeutic communication produces a lot of I'am Ok-You Are Ok life positions, but it is possible that a small number of nurses do not use therapeutic techniques properly. The novelty of this paper is related to therapeutic communication in nurse-patient transactional analysis counseling using a good life position when nurses provide informing techniques, open questions, focus, listen attentively, identify themes and suggestions. The limitation of this research is that it only focuses on the life position in transactional analysis counseling.
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Cheung, Jasmine, Sandra West e Maureen Boughton. "The Frontline Nurse’s Experience of Nursing Outlier Patients". International Journal of Environmental Research and Public Health 17, n.º 14 (20 de julho de 2020): 5232. http://dx.doi.org/10.3390/ijerph17145232.
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The frontline nurses’ experience of nursing with overstretched resources in acute care setting can affect their health and well-being. Little is known about the experience of registered nurses faced with the care of a patient outside their area of expertise. The aim of this paper is to explore the phenomenon of nursing the outlier patient, when patients are nursed in a ward that is not specifically developed to deal with the major clinical diagnosis involved (e.g., renal patient in gynecology ward). Using a hermeneutic phenomenological approach, eleven individual face-to-face in-depth interviews were conducted with registered nurses in New South Wales, Australia. The study identified that each nurse had a specialty construct developed from nursing in a specialized environment. Each nurse had normalized the experience of specialty nursing and had developed a way of thinking and practicing theorized as a “care ladder”. By grouping and analyzing various “care ladders” together, the nursing capacities common to nurses formed the phenomenological orientation, namely “the composite care ladder”. Compared to nursing specialty-appropriate patients, nursing the outlier patient caused disruption of the care ladder, with some nurses becoming less capable as they were nursing the outlier patient. Nursing the outlier patient disrupted the nurses’ normalized constructs of nursing. This study suggests that nursing patients in specialty-appropriate wards will improve patient outcomes and reduce impacts on the nurses’ morale.
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HAN, Sung-Suk, Young-Rhan UM, Yeo-Shin HONG e Nam-Ok CHO. "Korean Patients’ Conceptions of a Good Nurse". Korean Journal of Medical Ethics 9, n.º 2 (dezembro de 2006): 125–42. http://dx.doi.org/10.35301/ksme.2006.9.2.125.
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A study was designed to determine the characteristics, conduct, and impact of a good nurse from the point of view of patients in Korean university hospitals. The study was carried out at two university hospitals in Seoul and one university hospital outside of Seoul. A total of 600 patients (200 at each hospital) were surveyed. With respect to the characteristics of a good nurse, the study showed that patients believe that a good nurse should be kind, cheerful, sincere, trustworthy, considerate, and that nurses must treat patients like family members. In order to determine the conduct of a good nurse as viewed by patients, eight factors were considered, including compassion, professional pride, patient-centered caring, professional knowledge, trust, expertise, respect for patients, and advocacy. When attitudes towards the different factors were measured and converted to scores out of 100 percent, the factor that scored highest was professional knowledge (82.52), followed by professional pride (78.61), trust (78.11), and patient respect (76.90). As for the impact of a good nurse, patients reported that a good nurse induces trust, feelings of security, courage, and cheerfulness in patients. This research shows that a good nurse is conceived as someone who is friendly, bright, sincere, understanding, and treats the patient like family members. If a patient receives care from such a nurse, the patient will rely on the nurse, feel safe, have confidence in the struggle against his or her disease, and have a brighter disposition while undergoing care. Furthermore, although the professional knowledge and pride of nurses are important factors in a patient’s care, for nurses to have an empathetic attitude toward patients, it is suggested that they receive continued education.
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Finch,, Linda P. "Nurses’ Communication with Patients: Examining Relational Communication Dimensions and Relationship Satisfaction". International Journal of Human Caring 9, n.º 4 (junho de 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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Singh, Harbir, Ajoy K. Dey e Arunaditya Sahay. "Communication Themes of Patient Engagement for Multi-speciality Hospitals: Nurses’ Perspective". Journal of Health Management 21, n.º 4 (25 de novembro de 2019): 525–46. http://dx.doi.org/10.1177/0972063419884414.
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Introduction: Patient engagement is engaging patients in their own medical care to heal them faster and take their valuable inputs to improve the health of population. Nurses contribute significantly in treatment, interact and spend most of their time with inpatients. Therefore, exploring the perspectives of nurses on patient engagement-communication is of vital importance. Objective: This article focuses on exploring the communication themes of patient engagement from the perspective of nurses in a multi-speciality hospital in Delhi. Methodology: The exploratory qualitative case study was carried out with semi-structured interviews of 12 nurses, observation at receptions of ICUs and emergency department and analysis of documents from the hospital’s official website. Grounded theory—three-level coding—was performed to identify the themes of patient engagement-communication. Results: A total of nine themes have been identified: ‘attendant’s role’, ‘communicating with patients of different categories’, ‘doctor’s support to nurses’, ‘nurse action’, ‘nurse behaviour’, ‘nurse challenges’, ‘patient actions’, ‘patient emotions’ and ‘wider role of nurses’. Conclusion: Nurses play a critical role in engaging patients through communication. They should change their approach of communication with different types of patients, understand, respect and give due weightage to patient’s emotions and actions and, play a wider role of teacher and guardian than just being the nurse.
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Karen J. Yego, Mutunga Mwenda Catherine e Mageto Irene. "PERCEIVED INFLUENCE OF NURSE-PATIENT RATIO ON THE IMPLEMENTATION OF NURSING PROCESS AMONG NURSES AT TENWEK HOSPITAL, BOMET COUNTY". EPH - International Journal of Medical and Health Science 1, n.º 4 (26 de dezembro de 2015): 18–23. http://dx.doi.org/10.53555/eijmhs.v1i4.102.
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Objectives. ; To determine perceived influence of nurse patient-ratio on the implementation of the nursing process among nurses at Tenwek Hospital
Design: This was a cross sectional descriptive study which is both qualitative and quantitative in nature.
Setting; The stratified departments at Tenwek hospital which is not a public institution. Subjects/participants; Study the population of interest to the study consisted of the nurses working at Tenwek Hospital. These are the health workers who are employed by Tenwek Hospital Board. They were chosen since they are the group that is directly involved on implementation of the nursing processes (NP) at the hospital and are aware of the situation in the hospital. Data was collected between 13th May 2014 to 20th May 2014.
Main outcome measure; Nurse patient ratio, Number of patient admitted to departments, initiation of NP and implementation of all steps of NP.
Results: Findings on Nurse-patient ratio revealed that 81.0 % of the departments had a nurse- patient ratio of 1; 9 (one nurse per over nine patients and the least responses 5.6%, were nurses with ratios of three patients per one nurse, (1:1-3). These findings explain the nurse workload and the direct relationship on implementation of NP. 34.8% disagree and 19 % strongly disagree that working hours promotes implementation of NP. Majority recommended hiring of more nurse to meet the demand for nurses to carry out NP for every admitted patient at Tenwek Hospital.
Conclusion: The findings of the study indicated that low nurse patient ratio contributes to heavy nurse-workload which on the other hand it is perceived to contribute to impartial implementation of NP at Tenwek Hospital. This indicates a huge gap that requires both policy makers and the hospital administrators to address urgently.
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Wampole, Donna M., e Sara K. Bressi. "Exploring strategies for promoting trauma-informed care and reducing burnout in acute care psychiatric nursing". Journal of Nursing Education and Practice 9, n.º 5 (27 de janeiro de 2019): 110. http://dx.doi.org/10.5430/jnep.v9n5p110.
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Psychiatric nurses in inpatient settings provide person-centered and relationship-based care to persons in acute distress from behavioral health and substance use problems. The emotional labor of this highly interpersonal care is further complicated by the high rates of historical trauma among this population. This article summarizes the impact of trauma on patients in acute psychiatric settings, the impact of challenging organizational contexts and patient distress on nurse burnout, and proposes four strategies for promoting trauma-informed care by inpatient psychiatric nurses including a) promoting education of nurses on the impacts of trauma, b) building support among nurse colleagues, c) emphasizing clinical skills in coping with patient distress, and d) implementing mindfulness skills as a core coping strategy for nurses for managing their reactions to patient distress. Trauma-inforced care holds patient safety as primary to clinical effectiveness and is also crucial for promoting supportive patient-nurse relationships. As such, trauma-informed care has the potential to combat nurse burnout and improve outcomes for patients.
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Finch,, Linda P. "Patients’ Communication with Nurses: Relational Communication and Preferred Nurse Behaviors". International Journal of Human Caring 10, n.º 4 (junho de 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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Nugroho, Nehru. "SIKAP DAN STIGMA PERAWATAN JIWA PADA PASIEN SKIZOFRENIA DI RSJ PROF. HB SAANIN". JURNAL MEDIA KESEHATAN 10, n.º 1 (15 de novembro de 2018): 007–15. http://dx.doi.org/10.33088/jmk.v10i1.317.
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Schizophrenic patients experience limitations to perform their role as normalhumans. This limitation makes the beliefs of nurses form perceived attributes deviate aspeople with mental disorders that are difficult to cure, unpredictable and discriminatoryoccurrence known as stigmatization. The aim of this research was to identify the relationshipbetween attitudes with the stigma of mental nurses in schizophrenic patients. Descriptiveanalytic research design, cross sectional approach. A sample of 140 nurses, makingthe entire population a subject of research. The result of the research was the attitudeof the nurse's authority to show the negative attitude, the attitude of the virtue, the socialrestriction and the ideology of mental health community showed positive nurse attitude.Most stigma of nurses in schizophrenic patients was high. There was a relationship betweensocial restriction and nurse stigma in schizophrenic patients. While there is no correlationbetween attitude of authority, virtue, and ideology of mental health communitywith stigma of nurse in schizophrenic patient at RSJ Prof.HB Saanin Padang 2015. Suggestionfor institution especially in nursing field conducting education and training onnurse about stigma of nurse in schizophrenia patient so nurse able to reduce the occurrenceof stigma especially discrimination by nurse and patient get more optimal nursingservice.
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Grivell, N., E. Hoon, C. Chai-Coetzer, J. Fuller e R. McEvoy. "P049 Barriers and facilitators to the delivery of insomnia management by general practice nurses: a qualitative analysis of patient perspectives". SLEEP Advances 3, Supplement_1 (1 de outubro de 2022): A47. http://dx.doi.org/10.1093/sleepadvances/zpac029.122.
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Abstract Introduction With insufficient providers of insomnia care, alternative approaches to the delivery of insomnia treatments are being explored. Research has demonstrated that insomnia can be successfully managed by primary care nurses but patient attitudes towards this care are largely unknown. This study explored patient perspectives towards barriers and facilitators to practice nurse-delivered care to inform the development of patient-centred models of care for insomnia. Methods A qualitative sub-study within a process evaluation of sleep health care delivered in a pilot study in one general practice in metropolitan Adelaide. Semi-structured telephone interviews were conducted with patients with insomnia offered nurse-delivered or nurse-supported insomnia management. Thematic Analysis was used to identify themes within the data. Results Eleven patients participated (6 males; age mean [range] 59 years [29-72]; time at practice 14.3 years [4-21]; Sleep Condition Indicator 9.5 [3-14]). Two major themes were identified: 1. Patients are supportive of nurses providing care for uncomplicated insomnia; 2. Trust in practice nurse-delivered insomnia care is influenced by relationships with the GP, the practice, and the nurse. Participants reported confidence in practice nurses providing insomnia management provided that they had sufficient knowledge. Established relationships with the GP and the practice, along with previous appointments with the nurse, increased patient confidence in nurse-delivered insomnia care. Discussion Patient acceptance of practice nurse-delivered insomnia care supports further research into developing a role for practice nurses within insomnia management. The findings of this work will be tested and explored further within a large implementation study conducted in multiple general practices.
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Driscoll, Andrea, Maria J. Grant, Diane Carroll, Sally Dalton, Christi Deaton, Ian Jones, Daniela Lehwaldt, Gabrielle McKee, Theresa Munyombwe e Felicity Astin. "The effect of nurse-to-patient ratios on nurse-sensitive patient outcomes in acute specialist units: a systematic review and meta-analysis". European Journal of Cardiovascular Nursing 17, n.º 1 (18 de julho de 2017): 6–22. http://dx.doi.org/10.1177/1474515117721561.
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Background: Nurses are pivotal in the provision of high quality care in acute hospitals. However, the optimal dosing of the number of nurses caring for patients remains elusive. In light of this, an updated review of the evidence on the effect of nurse staffing levels on patient outcomes is required. Aim: To undertake a systematic review and meta-analysis examining the association between nurse staffing levels and nurse-sensitive patient outcomes in acute specialist units. Methods: Nine electronic databases were searched for English articles published between 2006 and 2017. The primary outcomes were nurse-sensitive patient outcomes. Results: Of 3429 unique articles identified, 35 met the inclusion criteria. All were cross-sectional and the majority utilised large administrative databases. Higher staffing levels were associated with reduced mortality, medication errors, ulcers, restraint use, infections, pneumonia, higher aspirin use and a greater number of patients receiving percutaneous coronary intervention within 90 minutes. A meta-analysis involving 175,755 patients, from six studies, admitted to the intensive care unit and/or cardiac/cardiothoracic units showed that a higher nurse staffing level decreased the risk of inhospital mortality by 14% (0.86, 95% confidence interval 0.79–0.94). However, the meta-analysis also showed high heterogeneity (I2=86%). Conclusion: Nurse-to-patient ratios influence many patient outcomes, most markedly inhospital mortality. More studies need to be conducted on the association of nurse-to-patient ratios with nurse-sensitive patient outcomes to offset the paucity and weaknesses of research in this area. This would provide further evidence for recommendations of optimal nurse-to-patient ratios in acute specialist units.
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Vujanić, Jasenka, Štefica Mikšić, Ivana Barać, Aleksandar Včev e Robert Lovrić. "Patients’ and Nurses’ Perceptions of Importance of Caring Nurse–Patient Interactions: Do They Differ?" Healthcare 10, n.º 3 (16 de março de 2022): 554. http://dx.doi.org/10.3390/healthcare10030554.
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Nurse–patient interaction is a professional and therapeutic relationship created to enable nurses to assess, plan, and deliver health care aimed at meeting patients’ basic human needs. The main aim of this study was to identify distinctive characteristics and differences in perceptions between patients and nurses related to the importance of caring interactions and to examine the contribution of independent variables in explaining their perceptions. A total of 446 respondents were included in the research (291 patients and 155 registered nurses). Data were collected using the translated and standardized 70-item version of the Caring Nurse–Patient Interactions Scale (CNPI-70) version for patients and version for nurses. According to the overall CNPI-70 scale, there was a significant difference in patients’ and nurses’ perception (p < 0.001). Patients assessed caring nurse–patient interactions significantly higher (4.39) than nurses (4.16). Additionally, nurses assessed all subscales significantly lower than patients who assessed them high (p < 0.05), except for the subscales for “environment” (p = 0.123) and “spirituality” (p = 0.132). Independent variables did not contribute to an explanation of respondents’ perceptions. Providing quality physical assistance in meeting human needs through effective communication and teaching is crucial for promoting a holistic patient approach, improving psychosocial support and nurse–patient interaction, and attaining greater satisfaction with health care provided without additional financial investments.
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Garth, Alyssa, Susan Schreiner e Dawn Jourdan. "Operational efficiencies in the infusion center: Improving nursing efficiencies and patient wait times while decreasing costs." Journal of Clinical Oncology 31, n.º 31_suppl (1 de novembro de 2013): 56. http://dx.doi.org/10.1200/jco.2013.31.31_suppl.56.
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56 Background: Decreased nursing efficiency and patient assignments has increased patient wait times and has significant implications on overall patient flow in the infusion center and labor dollars. Historically, staff nurses signed up for their patients, and took an average of 2 patients at one time. This created disparity in patient/staffing ratios, high number of labor dollars per worked infusion and an overall atmosphere of inequity among the nurses. Methods: Patient flow and labor cost were examined. Analysis of the nursing staffing matrix led to the creation of a patient placement nurse, taken from the daily staff allocation, assigning patients based on current patient assignment and acuity of patients. Nurses were identified to learn the patient placement nurse role based on critical thinking and organizational skills. With the assistance of a patient locator system, the patient placement nurse is able to identify when a patient’s wait begins and which nurse is the best choice to be assigned. A system was implemented in which a staff nurse was assigned a patient every 30-40 minutes with a maximum patient assignment of 4 concurrently. A standard 1:3 nurse to patient ratio was established unless a patient’s acuity prohibited this ratio. Results: Nursing ratios stabilized at 1:3. Staff became more efficient and work was reorganized for less subjectivity in patient assignments, producing more equitable workloads. This resulted in an increase in patients seen within 15 minutes improving from 69.8% to 85.3%. In addition, it allowed for the elimination of one nurse per day shift, resulting in a cost savings of approximately a 1.0 FTE/week or average annual salary of $62,129. Conclusions: Development of a standardized patient placement process can increase infusion center efficiencies and stabilize nursing workload, as well as decrease patient wait time and reduce the cost per infusion. This supports a delivery of patient-centered care while utilizing staff efficiently and appropriately and decreasing cost.
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Reblin, Maija, Janella Hudson, Margaret F. Clayton e Lee Ellington. "Managing conflict during home hospice nursing visits: Communication between nurses, cancer patients, and spouse caregivers." Journal of Clinical Oncology 35, n.º 31_suppl (1 de novembro de 2017): 39. http://dx.doi.org/10.1200/jco.2017.35.31_suppl.39.
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39 Background: Many hospice cancer patients and their spouse caregivers experience conflict as roles change and patients decline. Nurses can be asked to mediate conflicts during home visits. Our objective is to describe patient-caregiver conflict and nurse responses in home hospice communication. Methods: A secondary, qualitative analysis was conducted on transcripts of nurse visits to home hospice cancer patients and their spouse caregivers. Transcripts were selected based on high caregiver and patient emotion, identified by interaction analysis coding in primary analysis. Using an iterative process of constant comparison, coders inductively categorized nurse and dyad communication behavior during conflict into overarching themes. Results: 19 visits were identified for analysis. Nurses (from 7 hospice agencies) were all female and averaged 13 years nursing experience (SD = 11). Patient-caregiver dyads were all white, heterosexual, married an average 36 years (SD = 20). 84% of patients were male and average age was 72 years (SD = 9). Caregiver average age was 68 years (SD = 11). Patient-caregiver conflict fell under two major content themes 1) negotiating transitions in patient level of independence and 2) navigating patient/caregiver emotions (e.g. frustration, sadness). When not explicitly asked for input during conflict, nurses occasionally did not engage. Nurse response to transition conflict included problem-solving, mediating, or facilitating dyadic discussion about conflicts/concerns raised with her independently. Nurse response to emotional conflict included validation and reassurance. Conclusions: Little research has been conducted on couples’ conflict resolution in cancer home hospice. However, unresolved conflict can impact the quality of care and has been linked to poor bereavement adjustment. Nurses are sometimes asked to take on the role of mediator, often with little training. Our findings provide insight into home hospice patient and caregiver conflict communication with hospice nurses and could be used during nursing education. Further research could address specific patient and caregiver outcomes associated with nurse communication strategies.
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MacPhee, Maura, V. Dahinten e Farinaz Havaei. "The Impact of Heavy Perceived Nurse Workloads on Patient and Nurse Outcomes". Administrative Sciences 7, n.º 1 (5 de março de 2017): 7. http://dx.doi.org/10.3390/admsci7010007.
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This study investigated the relationships between seven workload factors and patient and nurse outcomes. (1) Background: Health systems researchers are beginning to address nurses’ workload demands at different unit, job and task levels; and the types of administrative interventions needed for specific workload demands. (2) Methods: This was a cross-sectional correlational study of 472 acute care nurses from British Columbia, Canada. The workload factors included nurse reports of unit-level RN staffing levels and patient acuity and patient dependency; job-level nurse perceptions of heavy workloads, nursing tasks left undone and compromised standards; and task-level interruptions to work flow. Patient outcomes were nurse-reported frequencies of medication errors, patient falls and urinary tract infections; and nurse outcomes were emotional exhaustion and job satisfaction. (3) Results: Job-level perceptions of heavy workloads and task-level interruptions had significant direct effects on patient and nurse outcomes. Tasks left undone mediated the relationships between heavy workloads and nurse and patient outcomes; and between interruptions and nurse and patient outcomes. Compromised professional nursing standards mediated the relationships between heavy workloads and nurse outcomes; and between interruptions and nurse outcomes. (4) Conclusion: Administrators should work collaboratively with nurses to identify work environment strategies that ameliorate workload demands at different levels.
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Marcomini, Ilaria, Roberta Pendoni, Vanessa Pauciulo, Vincenza Sansone, Laura Milani, Stefano Terzoni, Andrea Zibaldo e Debora Rosa. "Nurse-to-Nurse Collaboration". JONA: The Journal of Nursing Administration 54, n.º 3 (março de 2024): 184–89. http://dx.doi.org/10.1097/nna.0000000000001405.
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OBJECTIVE To map predictors and outcome of collaboration between nurses, outcomes of a good collaboration, and the tools developed to evaluate nurse-nurse collaboration. BACKGROUND Collaboration between nurses is an intraprofessional relationship between coworkers that is expressed through shared objectives, authority, and a decisional process. Studies on collaboration between nurses are very limited. METHODS A scoping review was conducted through 4 databases. RESULTS Eighteen studies were included. Nurses with higher levels of collaboration are more satisfied with their work and report less of an intention to leave their job. Greater collaboration among nurses resulted in a decrease of patient falling, hospital-acquired pressure ulcers, and a better care. Three tools have been developed to evaluate nurse-nurse collaboration: the Nurse-Nurse Collaboration Scale, the Nurse-Nurse Collaboration Behavior Scale, and the Nurse-Nurse Collaboration Between Sector. CONCLUSIONS Further studies should be conducted to fully understand the issue of collaboration between nurses and the factors connected to it.
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Ardian, Iwan, Nursalam Nursalam, Ahsan Ahsan, Nutrisia Nu’im Haiya e Intan Rismatul Azizah. "The development of an islamic nursing care model to improve patient satisfaction". Jurnal Ners 19, n.º 1 (29 de fevereiro de 2024): 3–12. http://dx.doi.org/10.20473/jn.v19i1.50026.
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Introduction: This study aimed to the development of an Islamic nursing care model to improve patient satisfaction. Methods: Cross-sectional design random sampling technique on 134 respondents, consisting of patients and nurses in the surgical inpatient room, internal medicine inpatient room, and postpartum and gynecology inpatient rooms, using simple random techniques. The variables of this study were the nursing factors, Islamic nursing care, and patient satisfaction and were collected using questionnaire. The data were collected using questionnaire in December 2021 at Islamic Hospital, Indonesia, and processed using a Smart Partial Least Squares (SmartPLS) analysis and Sommers' correlation test. Results: The Sommers' test results show significant relationship between nursing factor (nurse knowledge, nurse’s attitude, nurse competence, nurse personality) and patient satisfaction; nurse knowledge (p=0.000); nurse attitude (p=0.000); nurse competence (p=0.000); nurse personality (p=0.000; α<0.05). SmartPLS test results show the nurse factor with Islamic nursing care has a strong significant influence (p value 0.000; β value 0.539; t value> 1.96). Then for Islamic nursing care with patient satisfaction, it has a very strong significant effect (p value 0.000; β value 0.753; t value> 1.96). Conclusions: Islamic nursing care as a mediator of nurse factors with patient satisfaction can be described in this study model because Islamic nursing care is a real form of care by nurses that is felt by the patient and the application of Islamic values so that the form of nursing care makes patients feel satisfied.
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Sharp, Deborah, Elisa Haynes, Helen Lee, Cindy Bussey, Abla Afatsawo, Sylvia Davis, Donna Owens e Marjorie Jenkins. "Professional Nurse Advancement Programs: The Face of Leadership at the Bedside". Creative Nursing 24, n.º 2 (junho de 2018): 105–9. http://dx.doi.org/10.1891/1078-4535.24.2.105.
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Aims and ObjectiveThis article reviews a professional nurse advancement program and describes how it benefits patient care, staff engagement, and patient satisfaction.BackgroundExisting literature notes that professional nurse advancement programs can empower nurses to improve nursing care at the bedside and contribute to a safe patient care environment.MethodThe article reviews the qualitative exploration of the activities of participants in a professional nurse advancement program to determine the impact on patient care and identify benefits of the program. The article summarizes findings from thematic and narrative technique analysis of semistructured interviews with nurses, nurse leaders, and nurse administrators, and reviews of nurses’ portfolio information.ResultsImplementation of a professional nurse advancement program correlated with decreased patient falls, increased bedside clinician involvement in research, and positive outcomes in nursing quality indicators.ConclusionA professional nurse advancement program fosters continued professional growth and opportunities for advancement; promotes pride, personal responsibility, and respect for self; and prepares and enables nurses to lead change in advancing health in communities.
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Ghiasvand, Arezoo Mohamadkhani, Meimanat Hosseini e Foroozan Atashzadeh-Shoorideh. "Theoretical definition of nurse–conscious mechanically ventilated patient communication: a scoping review with qualitative content analysis". Acute and Critical Care 38, n.º 1 (28 de fevereiro de 2023): 8–20. http://dx.doi.org/10.4266/acc.2022.01039.
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Providing critical nursing care for conscious mechanically ventilated patients is mediated via effective communication. This study aimed to identify and map the antecedents, attributes, consequences, and definition of nurse–conscious mechanically ventilated patient communication (N-CMVPC). This scoping review was conducted by searching the Cochrane Library and the CINAHL, EMBASE, PubMed, Web of Science, and Scopus databases, between 2001 and 2021. The keywords queried included "nurses," "mechanically ventilated patients," "mechanical ventilation," "intubated patients," "communication," "interaction," "relationships," "nurse–patient communication," "nurse–patient relations," "intensive care units," and "critical care." Studies related to communication with healthcare personnel or family members were excluded. The results indicated that N-CMVPC manifests as a set of attributes in communication experiences, emotions, methods, and behaviors of the nurse and the patient and is classified into three main themes, nurse communication, patient communication, and quantitative-qualitative aspects. N-CMVPC is a complex, multidimensional, and multi-factor concept. It is often nurse-controlled and can express itself as questions, sentences, or commands in the context of experiences, feelings, and positive or negative behaviors involving the nurse and the patient.
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Elhamaida, Fanar Salem, Fadi Khraim, Hajer Arbabi, Daniel Forgrave e Sumayya Ansar. "Framework for roles and responsibilities of nurses in nurse-led cardiovascular disease clinics in primary health care: An integrative review". International Journal of Healthcare 9, n.º 2 (20 de outubro de 2023): 26. http://dx.doi.org/10.5430/ijh.v9n2p26.
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Background: Cardiovascular disease (CVD) is a global health issue. Literature has shown that primary care nurse-led cardiovascular disease clinics improve cardiac patient outcomes. These clinics improve the level of services provided, increase patient satisfaction, and decrease the mortality rate.Aim: This literature review aims to identify the roles and responsibilities of nurses working in CVD nurse-led clinics and to identify the outcomes of these nurse-led clinics.Method: Whittemore and Knafl’s framework guided this integrative review. Seventeen studies published between 2017 and 2022 were included in the review. The Mixed-Method Appraisal Tool was used to assess the quality of the studies.Results: Three themes emerge in this literature review: roles and responsibilities of nurse-led CVD clinics, the impact of nurse-led CVD clinics, and the qualifications of nurses working in these clinics.Conclusions: This integrative review identifies a framework for the roles and responsibilities of nurse-led CVD clinics and highlights the positive patient outcomes. This framework will help CVD nurse-led clinics to meet the needs of patients and achieve a high level of patient satisfaction.
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Octaviani, Nurul, Rizki Yeni Wulandari e Surmiasih Surmiasih. "Perilaku caring perawat terhadap kepuasan pasien; Sebuah literatur Review". Wellness And Healthy Magazine 2, n.º 2 (29 de agosto de 2020): 321–24. http://dx.doi.org/10.30604/well.022.82000123.
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Professional nurse service may be performed by a nurse in the performance of their duty. Caring will enable harmonious interpersonal relationships between nurses and patients,it can help and fulfill the patient's need to provide satisfaction. The research objective is to examine the results of several journals about nursing caring behavior to the patient's satisfaction. The research design used descriptive methods from the journal review literature. The results showed that nurses who have a good caring attitude, so patient satisfaction can be good in accordance with the quality of caring behavior performed by nurses. Based on the literature review noted that the application of nurse caring behavior has a close correlation with patient satisfaction. The more caring a nurse is, the more satisfied a patient will receive nursing care service.
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Nurmawan, Narmawan, Ida Djafar, Hasnani Hakim, Harmiati Syafril, Syahrul Syahrul e Syahrul Ningrat. "REPLACEMENT PERIPHERAL INTRAVENOUS CATHETERS WITH CLINICAL INDICATION FOR PATIENT CONVENIENCE, COST EFFICIENCY AND REDUCING NURSES WORKLOAD". Indonesian Contemporary Nursing Journal (ICON Journal) 3, n.º 1 (30 de agosto de 2018): 31. http://dx.doi.org/10.20956/icon.v3i1.3675.
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Introduction: PIVCs (Peripheral Intravenous Catheters) have been widely used for clinical medical care which is having risk for phlebitis occurence. IV catheter replacement is performed when there is clinical indication such us phlebitis. The consequence of this action is patient convinence, nurse workload and patient care cost efficiency. Methode: A longitudinal study with experimental results of evidence based practice on replacement of PIVSc with clinical indication as an effort to improve patient convinience, cost efficiency and reduce nurse workload in 41 patients. Result: 41 patients attached PIVCs, 100% wanted IV catheter replacement if there was any clinical indication. 68% of patients said very uncomfortable if IV catheter routinely replaced. 16 nurse (56.25%) said there is no need to replace IV catheter regularly. 43.75% of nurses felt IV catheters rountine replacement increased the working time and 50% of the nurses felt that nurses workload was increased. Conclusions: IV catheter replacement can be performed if there is cinical indication because it can improve patient convenience, increase cost efficiency and reduce nurse workload.
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Roberts, Tonya J., Thor Ringler e Seth Jovaag. "The VA Storybook Program: Humanizing Care With Nurse Stories". Nursing Science Quarterly 34, n.º 4 (18 de setembro de 2021): 398–404. http://dx.doi.org/10.1177/08943184211031575.
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The Veterans Affairs (VA) Storybook Program was developed to enhance nurse-patient relationships and satisfaction with care. Personal stories about nurses were distributed to patients on a medical/surgical unit. Quantitative and qualitative evaluation data were collected from patients and nurses to capture patients’ descriptions of nurses and perceptions of program value. Results show patients describe nurses differently after reading the storybook. Patients were highly satisfied with the program, and interviews suggest the stories fostered connection and developed an atmosphere of trust. Story programs may be an effective, structured approach to enhancing nurse-patient relationships.
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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, n.º 2 (26 de novembro de 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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Jeong, Hee-Ja, e Eun-Young Park. "Patient-Nurse Partnerships to Prevent Medication Errors: A Concept Development Using the Hybrid Method". International Journal of Environmental Research and Public Health 19, n.º 9 (28 de abril de 2022): 5378. http://dx.doi.org/10.3390/ijerph19095378.
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Medication safety is the most patient-centered aspect of nursing, and the medication process needs patients’ active participation to effectively prevent medication errors. The aim of this study was to develop the concept of a patient–nurse partnership for medication safety activities. The study design used the three-phase hybrid model for concept analysis: the theoretical phase, fieldwork phase, and final phase for integration. The results of a study define the concept of patient–nurse partnership for medication safety as “a fair cooperative relationship of mutual responsibility in which patients and nurses share information and communicate with each other through mutual trust.” Seven attributes were derived: mutual trust, mutual respect, mutual sharing, mutual communication, mutual responsibility, fair relationship, and mutual cooperation. The conclusion of the study of patient–nurse partnerships for medication safety was that it is necessary to ensure a balance in power between patient and nurse. This balance can be established through patient-centered nursing by implementing the active transfer of authority from nurses as professionals to patients.
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Hong, Kyung Jin, Hyesook Chung e Young Mi Jo. "Relationships between Alternative Nurse Staffing Level Measurements and Nurses’ Perceptions of Nurse Staffing Level Adequacy, Fatigue, and Care Quality". Journal of Nursing Management 2023 (17 de agosto de 2023): 1–12. http://dx.doi.org/10.1155/2023/6060536.
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Aims. This study examined the influence of nurse staffing level, measured using various methods, on nurses’ perceived adequacy of nurse staffing level, fatigue, and nursing care quality. Background. Although previous studies have recommended various methods of measuring nurse staffing level, there is a lack of research that compares different measurement methods or considers nurses’ perceptions of staffing level on a daily basis. Methods. We conducted a cross-sectional study using work sampling and the questionnaire method in a general hospital in South Korea from July 18 to August 14, 2022. Results based on responses from 90 nurses and scores of 5,536 inpatients derived from the Korean Patient Classification System were included in the analysis. Results. The average nurse-to-patient ratio a day was 1 : 3.20, and the registered nursing hours per patient day was 2.35. Perceived insufficient nurse staffing and fatigue were higher on weekdays than on weekends ( p < 0.001 ). All variables measuring the nurse staffing level affected the nurses’ perceived inadequacy of nurse staffing level, fatigue, and nursing care quality, compared to other variables related to nurse staffing level, such as work intensity and demanding nursing hours per nurse (R2: 0.19–0.31), the nurse-to-patient ratio had the lowest explanatory power in explaining the nurses’ perceptions (R2: 0.14–0.18). Conclusions. Nurse staffing level measurement should consider the acuity of inpatients and nursing care time. Further research is needed to utilize nurses’ perceptions of the appropriate nurse staffing level. Implications for Nursing Management. Efforts are required to maintain an appropriate nurse staffing level through continuous monitoring of nurses’ perceptions and acuity of inpatients to preserve nurses’ alertness during work and improve nursing care quality.
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Nebres, Ma Almira Pliego, Clarence Bien Ladion Nebres e Bienvisa Ladion Nebres. "EXTENT OF HEMODIALYSIS NURSES’ PRESENCE AS PERCEIVED BY PATIENTS". Belitung Nursing Journal 6, n.º 3 (5 de junho de 2020): 67–72. http://dx.doi.org/10.33546/bnj.1091.
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Background: Nursing presence is an essential nurse caring behavior of being with the patient. This is particularly true for those with chronic renal disease and who regularly undergo maintenance hemodialysis treatment in the hospital setting. When nursing presence is perceived by patients in a nurse-patient relationship, it is more likely to result in enhanced satisfaction with the quality of nursing care. Thus, it is important for hemodialysis nurses to be aware of the relevance of nurse-patient interactions in planned care considering that these interactions are integral to the extent to which nursing presence is experienced and perceived by patients.Objective: This study aims to determine the hemodialysis nurses’ extent of nursing presence as perceived by patients undergoing hemodialysis treatment in two hospitals in Iligan City, Philippines.Methods: Utilizing the descriptive research design, the study was conducted in two hospitals in Iligan City, Philippines. A total of 121 hemodialysis patients were purposely selected to determine their perception as to the extent of hemodialysis nurse’s nursing presence utilizing the 25-item Presence of Nursing Scale (PONS) instrument. Descriptive statistics were used for data analysis.Result: The overall rating by the hemodialysis patients in both hospitals was “always" on the hemodialysis nurses’ extent of nursing presence with an average mean score of 4.47 in all 25 items of the PONS. The highest rated item which reflects that the nurse cares for the patient as a person had an average mean score of 4.63 (always) while the lowest rated item indicating that the nurse is meeting the spiritual needs of the patient had an average mean score of 4.23 (always).Conclusion: The nurse-patient relationship is enhanced by the presence of nurses who are more responsive and interactive with the patients, resulting in patients who are more satisfied with nursing care. Thus, it is suggested that nurses in dealing with patients of varying backgrounds should consider their unique needs when giving information, explanations, health education and nursing care.
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Aliftitah, Sugesti, e 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, n.º 1 (27 de março de 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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Vechter, Tamar, e Anat Drach-Zahavy. "Effect of Nurse Proactive Behavior on Patient Education for Fall Prevention in Acute Settings: A Moderated-Mediation Model". Nursing Forum 2024 (8 de março de 2024): 1–10. http://dx.doi.org/10.1155/2024/9880452.
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Introduction. Falls among hospitalized patients continue to pose a serious threat to patient safety worldwide. Effective fall-prevention education is considered vital for fall prevention. Nurses’ resilience and proactivity may improve the fall-prevention education nurses provide to patients, but how to motivate nurses’ proactivity remains unsolved. This study aimed to examine whether (1) nurse’s resilience and social capital are jointly associated with nurse proactivity and (2) adherence to procedures further moderates the relationships between nurse proactivity and the fall prevention education provided to patients by the nurse. Methods. A nested (∼3 patients per nurse) cross-sectional observational design has been employed in this study. 101 bedside registered nurses were recruited from fourteen internal and surgical wards at a medium-size hospital. For each nurse, ∼3 of their newly admitted patients were recruited (total of 271 patients). Nurses completed validated questionnaires on personal resilience, social capital, following procedures, and sociodemographic data. Fall-prevention education was assessed via a short-structured interview with patients. Hypotheses were analyzed using the Hayes PROCESS macro. Results. Social capital, nurse resilience, and their interaction were associated with proactive behavior. Proactive behavior, adherence to procedures, and their interaction (β = −0.57, p<0.01) were associated with patient education for fall prevention given by nurses. The moderated-mediation model was significant under medium and high levels of social capital and low levels of adherence to procedures. Conclusion. The study highlights the importance of nurse proactivity in educating patients about fall prevention, especially when adherence to procedures in the ward is perceived as low. Furthermore, nurses’ proactivity can be promoted by nurturing both their resilience and their social capital. Nursing managers should nurture proactivity at the work environment of the 21-century, by fostering resilience and enculturing social capital. Concomitantly, employees should be educated at ways to promote personal resilience and engage in wise proactivity.
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M. Pool, Natalie. "Nurses' Experiences of Establishing Meaningful and Effective Relationships With American Indian Patients in the Cancer Care Setting". SAGE Open Nursing 5 (janeiro de 2019): 237796081982679. http://dx.doi.org/10.1177/2377960819826791.
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Introduction The establishment of caring relationships with racial and ethnic minority populations is challenging for many cancer care nurses. Nurses serving American Indian (AI) patients frequently encounter population-specific issues, yet their experiences are largely unknown. Objective The purpose of this study was to describe the meaning of the AI patient–cancer care nurse relationship from nurses' perspectives. The study included three objectives: (a) to describe the immediate experiences of nurses that have engaged in cancer care relationships with AI patients, (b) to identify the underlying structures of the AI patient–cancer care nurse relationship as described by nurses, and (c) to interpret the meaning of the patient–nurse relationship within the context of AI cancer care experiences. Methods This was an interpretive phenomenological study using a hermeneutical process for data collection and analysis of multiple, exploratory interviews. Thematic reduction was completed to explicate the fundamental structures of this particular relationship. Reduction of individually situated themes resulted in seven shared meta-themes including from task to connection; unnerving messaging; we are one; the freedom of unconditional acceptance; attuning and opening; atoning for the past, one moment at a time; and humanizing the inhumane. Results Nine cancer care nurses participated. Reconstitution of data and reflective writing suggested that the essential meaning of the AI patient–cancer care nurse relationship was expressed in contradictory yet simultaneous patterns for nurses. Nurses sought synchronicity with their AI patients despite their contextual differences and similarities, yet most lacked adequate cultural safety training. Being in relationship provided nurses great purpose within the universal human context of caring. Conclusions Results contribute to the development of interventions designed to improve both the AI cancer care experience and the support and training of nurses. The mutually dependent nature of the patient–nurse relationship implies that strengthening and improving support for one entity may in turn positively impact the other.
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Purniawati, Wayan, Puja Astuti Dewi e Ni Putu Kamaryati. "AN OVERVIEW OF NURSES CARING BEHAVIOUR TOWARD PATIENT IN PATIENT WARD AT RSUD IN KLUNGKUNG REGENCY". Jurnal Riset Kesehatan Nasional 1, n.º 1 (14 de fevereiro de 2018): 17. http://dx.doi.org/10.37294/jrkn.v1i1.37.
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Background: The behavior of the nurses in caring is form of emotional support of nurses in providing nursing care is moral commitment to protect, promote human dignity as the core of nursing that differentiates it from other professions.Purpose of the research: to know the overview of nurses caring behavior toward patients in patient treatment ward in Klungkung regency.Method: the design of the study wasdescriptive method purposive sampling techinique and proportionale stratified random sampling. The populationof the study was 308 people and the sample was 110 people. The data collection tool was questionnaire CBA (Caring Behaviour Assesment)which has been modified. Data was analyzed using descriptive statistics and processed using SPSS 20.0 for windows.Result: The nurse caring behavior to patients in the ward showed 43,6%patients received good treatment, 52,7% patients received sufficient treatment and 3,7% patients received less treatment.Conclusion: Nurse that provided nursing care to patients should have caring behaviour in helping patients to meet their needs biologically, psychologically, sociologically and spritually Keywords: behavior, caring, inpatient, nurse
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Kumar, Sameer, e Gregory W. McKewan. "Practical Insights on Expanding Nurse Practitioner’s Role During and Post Hospitalization in U.S. Health Care". Home Health Care Management & Practice 23, n.º 5 (25 de janeiro de 2011): 356–62. http://dx.doi.org/10.1177/1084822310388387.
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Aim: The purpose of this study is to investigate expanding the role of nurses in the current U.S. health care system from the standpoint of nurse–patient interactions and nursing interventions to improve patient care and reduce overall health care costs. Background: Many failures in nurse–patient interactions in the hospital and in postrelease setting can be eliminated with different forms of patient-centered care that include patient education, support, and counseling. Method: This study makes use of extensive review of literature from academic databases to analyze increased Nurse Practitioner (NP) role in nurse–patient interactions during patients’ in-hospital experience and postrelease environment. Conclusions: Expanding the role of nurses would improve the overall health care system in the United States and save money over the long run. Long-term follow-up with patients would promote a healthier lifestyle and reduce the likelihood of return to the hospital. NPs are uniquely positioned to potentially serve as change agents within health care systems. Implications: Nursing educators and managers will need to work closely with policy makers to implement the expanded role of nurses to improve the U.S. health care system.
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Welch, Joanne, e Ann Fournier. "Patient Engagement Through Informed Nurse Caring". International Journal for Human Caring 22, n.º 1 (julho de 2018): 10–19. http://dx.doi.org/10.20467/1091-5710.22.1.pg5.
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Caring in nursing is well established as fundamental to the nurse–patient relationship. Swanson (1991) defines caring as a “nurturing way of relating to a valued other toward whom one feels a personal sense of commitment and responsibility” (p. 165). The care provided by nurses should be informed (Swanson, 1993). The Nursing Alliance for Quality Care suggests that engaged patients enter into a partnership with nurses though which there is a mutual sharing of information (Sofaer & Schumann, 2013). Efforts to increase patient engagement may be enhanced through informed nurse caring. The purpose of this article is to discuss the promotion of patient engagement as informed caring practice, within the framework of a middle range theory of caring (Swanson, 1991, 1993) well suited for practical application.
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Musy, Sarah N., Olga Endrich, Alexander B. Leichtle, Peter Griffiths, Christos T. Nakas e Michael Simon. "Longitudinal Study of the Variation in Patient Turnover and Patient-to-Nurse Ratio: Descriptive Analysis of a Swiss University Hospital". Journal of Medical Internet Research 22, n.º 4 (2 de abril de 2020): e15554. http://dx.doi.org/10.2196/15554.
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Background Variations in patient demand increase the challenge of balancing high-quality nursing skill mixes against budgetary constraints. Developing staffing guidelines that allow high-quality care at minimal cost requires first exploring the dynamic changes in nursing workload over the course of a day. Objective Accordingly, this longitudinal study analyzed nursing care supply and demand in 30-minute increments over a period of 3 years. We assessed 5 care factors: patient count (care demand), nurse count (care supply), the patient-to-nurse ratio for each nurse group, extreme supply-demand mismatches, and patient turnover (ie, number of admissions, discharges, and transfers). Methods Our retrospective analysis of data from the Inselspital University Hospital Bern, Switzerland included all inpatients and nurses working in their units from January 1, 2015 to December 31, 2017. Two data sources were used. The nurse staffing system (tacs) provided information about nurses and all the care they provided to patients, their working time, and admission, discharge, and transfer dates and times. The medical discharge data included patient demographics, further admission and discharge details, and diagnoses. Based on several identifiers, these two data sources were linked. Results Our final dataset included more than 58 million data points for 128,484 patients and 4633 nurses across 70 units. Compared with patient turnover, fluctuations in the number of nurses were less pronounced. The differences mainly coincided with shifts (night, morning, evening). While the percentage of shifts with extreme staffing fluctuations ranged from fewer than 3% (mornings) to 30% (evenings and nights), the percentage within “normal” ranges ranged from fewer than 50% to more than 80%. Patient turnover occurred throughout the measurement period but was lowest at night. Conclusions Based on measurements of patient-to-nurse ratio and patient turnover at 30-minute intervals, our findings indicate that the patient count, which varies considerably throughout the day, is the key driver of changes in the patient-to-nurse ratio. This demand-side variability challenges the supply-side mandate to provide safe and reliable care. Detecting and describing patterns in variability such as these are key to appropriate staffing planning. This descriptive analysis was a first step towards identifying time-related variables to be considered for a predictive nurse staffing model.