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Zhao Y, Pang M, Xu Y. CICARE communication model and hierarchical responsibility nursing coordination in the application research of elderly patients with chronic heart failure. Medicine (Baltimore) 2024; 103:e39293. [PMID: 39287306 PMCID: PMC11404920 DOI: 10.1097/md.0000000000039293] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/09/2023] [Revised: 03/31/2024] [Accepted: 07/23/2024] [Indexed: 09/19/2024] Open
Abstract
The aim of this study was to evaluate the efficacy of implementing the CICARE communication model and hierarchical responsibility nursing coordination in managing chronic heart failure among elderly patients. From June 2021 to June 2023, 120 elderly patients diagnosed with chronic heart failure were admitted to our hospital. They were divided into 2 groups according to different treatment methods: the regular group and the observation group. Both groups of patients received nursing interventions for 3 months. Before and after the intervention, we assessed the levels of cardiac function indicators (left ventricular end-diastolic diameter, left ventricular ejection fraction, and B-type natriuretic peptide levels) and exercise tolerance (6-minute walk test) in both groups of patients. The time to clinical symptom relief, self-efficacy, and quality of life scores were compared between the 2 groups of patients. Before the intervention, there were no significant differences in cardiac function indicators between the 2 groups (P > .05). However, after the intervention, both groups exhibited improvements in left ventricular end-diastolic diameter and B-type natriuretic peptide levels, with the observation group demonstrating greater reductions compared to the control group. Furthermore, both groups showed increased left ventricular ejection fraction levels, with the observation group experiencing a significantly higher improvement. Although exercise tolerance did not differ significantly between the groups before the intervention, post-intervention analysis revealed a greater increase in 6-minute walk test distance in the observation group compared to the control group (P < .05). The time to relief of breathlessness and edema did not significantly differ between the groups (P > .05). Similarly, there were no significant differences in self-efficacy and quality of life scores between the groups before the intervention (P > .05); however, post-intervention analysis showed higher self-efficacy scores in the observation group. Application of the CICARE communication model and hierarchical responsibility nursing coordination in elderly patients with chronic heart failure can effectively improve the patients' cardiac function levels and significantly enhance their exercise tolerance, self-efficacy, and quality of life.
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Affiliation(s)
- Yuhuan Zhao
- Department of Traditional Chinese Medicine, Xi’an Ninth Hospital, Xi’an, Shaan xi, China
| | - Mi Pang
- Xi’an Ninth Hospital Nursing Department, Xi’an, Shaan xi, China
| | - Yuanle Xu
- Department of Operation Room, The Second People’s Hospital of Shaanxi Province Xi’an, Shaan xi, China
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Clancy C, Clancy P. Navigating Accountable Conversations in Health Care: Balancing Power Dynamics. AORN J 2024; 120:155-163. [PMID: 39189848 DOI: 10.1002/aorn.14203] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/20/2024] [Revised: 04/11/2024] [Accepted: 04/12/2024] [Indexed: 08/28/2024]
Abstract
Effective communication is crucial in health care and contributes to safe patient care and organizational excellence. Hierarchical differences can negatively affect communication among clinicians; however, recognizing and addressing power imbalances can improve patient safety. Individuals can feel empowered to express concerns and provide constructive feedback through clear communication with active listening. Perioperative nurses and leaders can use a variety of strategies to enhance accountable (or critical) conversations, such as structured communication models that guide participants through conversations and standardized procedures and tools to enhance the quality of team communication. This article provides an overview of accountable conversations, discusses the importance of structured communication models, and offers scenario-based examples using two structured models to enhance the reader's understanding. Finally, the article describes cultural competence and the leader's role in developing a culture of accountability.
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No J, Lee K. The Safety Climate and Patient Safety Activities in Mental Health Nurses: The Mediating Effect of Safety Control. Healthcare (Basel) 2024; 12:1181. [PMID: 38921295 PMCID: PMC11204045 DOI: 10.3390/healthcare12121181] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/09/2024] [Revised: 06/08/2024] [Accepted: 06/10/2024] [Indexed: 06/27/2024] Open
Abstract
This study aimed to investigate the mediating effect of safety control on the relationship between safety climate and patient safety management activities for mental health nurses. A survey was conducted on 177 nurses working at mental hospitals in G-do from 28 July 2023 to 15 August 2023. Data were analyzed using the SPSS/WIN 27.0 and Sobel test. Significant relationships were found between safety climate and safety control (r = 0.40, p < 0.001), safety climate and patient safety management activities(r = 0.40, p < 0.001), and safety control and patient safety management activities (r = 0.43, p < 0.001). Additionally, safety control partially mediated the safety climate and the patient safety management activities (Z = 3.63, p < 0.001). Therefore, programs that increase safety control and create a safety climate need to be developed to promote patient safety activities of mental health nurses.
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Affiliation(s)
- Jiyeong No
- Department of Nursing, Jinju Health College, Jinju 52655, Republic of Korea;
| | - Kyoungsook Lee
- Department of Nursing, University of Ulsan, Ulsan 44610, Republic of Korea
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Poku CA, Attafuah PYA, Anaba EA, Abor PA, Nketiah-Amponsah E, Abuosi AA. Response to patient safety incidents in healthcare settings in Ghana: the role of teamwork, communication openness, and handoffs. BMC Health Serv Res 2023; 23:1072. [PMID: 37803364 PMCID: PMC10559624 DOI: 10.1186/s12913-023-10000-0] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/14/2023] [Accepted: 09/04/2023] [Indexed: 10/08/2023] Open
Abstract
BACKGROUND Patient safety incidents (PSIs) in healthcare settings are a critical concern globally, and Ghana is no exception. Addressing PSIs to improve health outcomes requires various initiatives to be implemented including improving patient safety culture, teamwork and communication between healthcare providers during handoffs. It is essential to acknowledge the significance of teamwork, communication openness, and effective handoffs in preventing and managing such incidents. These factors play a pivotal role in ensuring the well-being of patients and the overall quality of healthcare services. AIM This study assessed the occurrence and types of PSIs in health facilities in Ghana. It also examined the role of teamwork, handoffs and information exchange, and communication openness in response to PSIs by health professionals. METHODS A cross-sectional study was conducted among 1651 health workers in three regions of Ghana. Using a multi-staged sampling technique, the Survey on Patient Safety Culture Hospital Survey questionnaire and the nurse-reported scale were used to collect the data and it was analysed by descriptive statistics, Pearson correlation, and linear multiple regression model at a significance of 0.05. RESULTS There was a reported prevalence of PSIs including medication errors (30.4%), wound infections (23.3%), infusion reactions (24.7%), pressure sores (21.3%), and falls (18.7%) at least once a month. There was a satisfactory mean score for responses to adverse events (3.40), teamwork (4.18), handoffs and information exchange (3.88), and communication openness (3.84) among healthcare professionals. Teamwork, handoffs and information exchange and communication openness were significant predictors of response to PSIs, accounting for 28.3% of the variance. CONCLUSIONS Effective teamwork, handoffs and information exchange, and communication openness in the healthcare environment are critical strategies to enhance PSI response. Creating a culture that encourages error response through teamwork, communication and handoffs provides healthcare professionals with opportunities for learning and improving patient outcomes. Training programs should therefore target health professionals to improve patient safety and competency. Through the implementation of evidence-based practices and learning from past incidents, the healthcare system will be able to deliver safe and high-quality care to patients nationwide. Patient safety must be recognized as an ongoing process. Therefore, a meaningful improvement in patient outcomes requires all stakeholders' commitment.
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Affiliation(s)
- Collins Atta Poku
- Department of Nursing, College of Health Sciences, Kwame Nkrumah University of Science and Technology, Kumasi, Ghana
| | | | - Emmanuel Anongeba Anaba
- Department of Population, Family and Reproductive Health, School of Public Health, University of Ghana, Accra, Ghana
| | - Patience Aseweh Abor
- Department of Public Administration and Health Services Management, University of Ghana Business School, Legon, Accra, Ghana
| | | | - Aaron Asibi Abuosi
- Department of Public Administration and Health Services Management, University of Ghana Business School, Legon, Accra, Ghana
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Hathcock S. A Letter to First Semester Nursing Students. J Christ Nurs 2023; 40:220. [PMID: 37653652 DOI: 10.1097/cnj.0000000000001109] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 09/02/2023] Open
Affiliation(s)
- Sarah Hathcock
- Sarah Hathcock, MSN, RN, CNE, is an assistant professor at Charleston Southern University where she serves as the undergraduate program director for the College of Nursing. She is currently pursuing a Doctor of Nursing Practice with an emphasis in executive leadership
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Asadi M, Ahmadi F, Mohammadi E, Vaismoradi M. Unsafe doctor-nurse interactions in the process of implementing medical orders: A qualitative study. Nurs Open 2023; 10:6808-6816. [PMID: 37353880 PMCID: PMC10495711 DOI: 10.1002/nop2.1927] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/01/2022] [Revised: 05/25/2023] [Accepted: 06/13/2023] [Indexed: 06/25/2023] Open
Abstract
AIM This study aimed to explore challenges faced by clinical nurses in the process of implementing medical orders. DESIGN A qualitative study using inductive content analysis. METHODS Semi-structured individual interviews were carried out with 17 participants including nurses, nurse managers and medical doctors who were purposefully selected. The collected data underwent inductive qualitative content analysis. RESULTS The main research finding was the category of 'unsafe doctor-nurse interaction'. It included three subcategories: 'conflicts in documenting and executing orders', 'not accepting the nurse's suggestions for writing and correcting orders' and 'failure to accept the responsibility of orders by the doctor'. Challenges in the professional relationship between doctors and nurses cause mistrust and conflict. They also enhance nurses' concerns about professional and legal issues in the workplace and endanger patient safety.
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Affiliation(s)
- Monireh Asadi
- Department of Nursing, Faculty of Medical SciencesTarbiat Modares UniversityTehranIran
| | - Fazlollah Ahmadi
- Department of Nursing, Faculty of Medical SciencesTarbiat Modares UniversityTehranIran
| | - Easa Mohammadi
- Department of Nursing, Faculty of Medical SciencesTarbiat Modares UniversityTehranIran
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Vozzella GM, Hehman MC. Cardiovascular Nursing Workforce Challenges: Transforming the Model of Care for the Future. Methodist Debakey Cardiovasc J 2023; 19:90-99. [PMID: 36910553 PMCID: PMC10000318 DOI: 10.14797/mdcvj.1188] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/18/2022] [Accepted: 12/22/2022] [Indexed: 02/11/2023] Open
Abstract
The complexities of acute and critical care cardiovascular management demand specialty trained and experienced nurses to ensure quality patient outcomes. An ongoing nurse labor shortage threatens to destabilize the healthcare system and presents a twofold challenge: a decreasing supply of registered nurses and increasing demand for nursing services. This article describes the numerous forces driving the current nursing shortage as well as the impact of the coronavirus-19 pandemic on nurse job satisfaction and turnover. We present a reinvented model of nursing care as a framework for healthcare organizations to address nurse staffing challenges.
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Kim MS, Cho YO, Park J. Combination Relationship between Features of Person-Centered Care and Patient Safety Activities of Nurses Working in Small-Medium-Sized Hospitals: A Cross-Sectional Study. NURSING REPORTS 2022; 12:861-872. [PMID: 36412802 PMCID: PMC9680421 DOI: 10.3390/nursrep12040083] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/02/2022] [Revised: 10/26/2022] [Accepted: 11/07/2022] [Indexed: 11/17/2022] Open
Abstract
Perceived safety culture and nursing work environment are considered important prerequisites for a patient safety activity. Patient safety is also associated with person-centered care; however, few studies apply the person-centered care framework which includes staff attributes and care environment. This study aimed to examine the canonical correlations of person-centered care factors, including professional self-concept, patient safety culture, nursing work environment, and patient safety activities of nurses working in small-medium-sized hospitals. A cross-sectional survey was used. Participants included 171 nurses from seven small-medium-sized hospitals in Busan metropolitan city, in Korea. Data were analyzed using descriptive statistics, t-test, one-way analysis of variance (ANOVA), Pearson's correlation coefficients, and canonical correlations. Two significant canonical variates were found. First, better professional self-concept, a positive patient safety culture, and better nursing work environment were associated with better patient safety care activities. Second, a negative patient safety culture and healthy nursing work environment were associated with a lack of communication between medical staff. Person-centered framework factors such as staff attributes and care environment were positively associated with patient safety activities. Based on the results, nurses in small-medium-sized hospitals should be highly aware of their professional self-concept. Moreover, nurses should be equipped with psychological safety and a healthy work environment to enhance patient safety activities.
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Affiliation(s)
- Myoung Soo Kim
- Department of Nursing, Pukyong National University, Busan 48513, Republic of Korea
| | - Young Ok Cho
- Hyosung City Hospital, Busan 48055, Republic of Korea
| | - Jiwon Park
- Department of Nursing, Pukyong National University, Busan 48513, Republic of Korea
- Correspondence:
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Emphasising Organisational Routine: A Qualitative Study of Patient and Health Professional Experiences of Inpatient Oncology Care. Healthcare (Basel) 2022; 10:healthcare10112145. [DOI: 10.3390/healthcare10112145] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/29/2022] [Revised: 10/19/2022] [Accepted: 10/20/2022] [Indexed: 11/16/2022] Open
Abstract
Background: Although the experience of hospitalisation for cancer management has been widely researched, such research from the African sub-continent is limited. Objective: This study explored experiences of patient care in a tertiary, inpatient oncology setting in urban South Africa, from the point of view of patients and health professionals. Methods: In-depth interviews and focus groups were conducted with participants. Participants included oncology inpatients, oncologists, nurses and nursing management (N = 46) at an oncology unit in Johannesburg, South Africa. Data were analysed by a multidisciplinary research group using reflexive thematic analysis principles. Results: Our results suggest that barriers to establishing effective organisational routines included communication breakdowns between patients and healthcare providers, a lack of predictability in interactions with doctors, deficient access to information and diminished confidence in nurses. Conclusions: Oncology inpatients may not feel in control of their circumstances, in part due to lacking routine in the hospital setting. Ironically, nurses, who are often at the frontline of patient management, appear to be underutilised or disabled by the healthcare system as conveyors of information. Implications for practice: Robust organisational routines for oncology inpatients may be a good mechanism for allaying uncertainty and conferring a sense of control. Nursing staff, as the individuals with the most direct patient contact, could be instrumental in nurturing organisational routines towards improving patient perceptions of care.
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Kesonen P, Salminen L, Haavisto E. Patients and family members´ perceptions of interprofessional teamwork in palliative care: A qualitative descriptive study. J Clin Nurs 2022; 31:2644-2653. [PMID: 35001462 PMCID: PMC9544242 DOI: 10.1111/jocn.16192] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/30/2021] [Revised: 12/04/2021] [Accepted: 12/16/2021] [Indexed: 11/28/2022]
Abstract
AIMS To describe patients and family members' perceptions of interprofessional teamwork in specialised palliative care. BACKGROUND Interprofessional teamwork is essential when delivering high-quality palliative care. Little attention has been paid to patients and family members' perceptions. DESIGN A qualitative descriptive design. METHODS Semi-structured individual interviews were conducted with 20 palliative patients and family members (n = 19) in four palliative wards, which were collected from May 2019 to November 2019. Data were analysed using inductive content analysis. COREQ guidelines were followed. RESULTS Patients' perceptions of interprofessional teamwork were described as the nature of interprofessional teamwork, a sense of community and patient participation. Family members' perceptions of interprofessional teamwork were described as the nature of interprofessional teamwork, the diverse expertise and the sense of community. Patients and family members' perceptions of interprofessional teamwork were nearly identical and were based on observed social situations or their assumptions. They trust that professionals are working interprofessionally, even if the teamwork cannot be observed. In palliative care, the nature of interprofessional care changes together with patients' condition and family members progressively need more professional support. CONCLUSIONS Conducting interprofessional care more openly could benefit the availability of different professionals' competence to patients and family members. In palliative care, the nature of interprofessional teamwork changes together with the patients' health condition. More information is needed about what constitutes an interprofessional framework and the required interprofessional competencies in palliative care. RELEVANCE TO CLINICAL PRACTICE The findings show the importance of considering the patient's health status when interprofessional care is planned. However, professionals should recognise that a patient's weakening condition changes the focus more to the needs of the family members. It is acknowledged that IP teamwork requires time, but in PC settings, spending time on collaborative practices is not always possible.
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Affiliation(s)
| | - Leena Salminen
- Department of Nursing ScienceUniversity of TurkuTurku University HospitalTurkuFinland
| | - Elina Haavisto
- Department of Nursing ScienceUniversity of TurkuSatakunta Hospital DistrictFinland
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Østervang C, Lassen AT, Øelund K, Coyne E, Dieperink KB, Jensen CM. Health professionals' perspectives of patients' and family members' needs in emergency departments and patient pathway improvement: a qualitative study in Denmark. BMJ Open 2022; 12:e057937. [PMID: 35228292 PMCID: PMC8886412 DOI: 10.1136/bmjopen-2021-057937] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
Abstract
OBJECTIVE Besides working in a fast-paced environment, healthcare professionals (HCPs) in the emergency department (ED) are required to promptly respond to patients' needs and simultaneously achieve their organisational goals, which can be challenging. This study investigates how HCPs perceive and support the needs of patients discharged after a brief ED stay, as well as their family members. DESIGN The study used focus group discussions. The text material was analysed using systematic text condensation. SETTING Data were collected from two large EDs in Denmark. PARTICIPANTS Sixteen HCPs were sampled purposively to participate in three focus group discussions. RESULTS Three main themes were condensed: (1) creating a trustful and reassuring relationship; (2) responding to family members: a bother or a benefit; and (3) working as an interdisciplinary team. The study indicated the need for increased interdisciplinary collaboration to reduce discrepancies in information dissemination, to meet patient and family needs and to deliver a holistic approach. A technical solution was suggested to facilitate collaborative teamwork. CONCLUSION The study highlighted an existing gap between emergency HCPs' perceptions of patients' and family members' needs and the provision of the current patient and family support. Suggestions for future interventions include focusing on interdisciplinary teamwork, facilitated by a technical solution to support a person-centred and family-centred informative approach.
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Affiliation(s)
- Christina Østervang
- Department of Emergency Medicine, Odense University Hospital, Odense, Denmark
- Clinical Institute, University of Southern Denmark, Odense, Denmark
| | - Annmarie Touborg Lassen
- Department of Emergency Medicine, Odense University Hospital, Odense, Denmark
- Clinical Institute, University of Southern Denmark, Odense, Denmark
| | - Katrine Øelund
- Department of Emergency, Sygehus Lillebalt Kolding Sygehus, Kolding, Denmark
| | - Elisabeth Coyne
- Clinical Institute, University of Southern Denmark, Odense, Denmark
- Department of Nursing, Griffith University Faculty of Health, Brisbane, Queensland, Australia
| | - Karin Brochstedt Dieperink
- Clinical Institute, University of Southern Denmark, Odense, Denmark
- Department of Oncology, Odense University Hospital, Odense, Denmark
| | - Charlotte Myhre Jensen
- Clinical Institute, University of Southern Denmark, Odense, Denmark
- Department of Orthopedic Surgery and Traumatology, Odense University Hospital, Odense, Denmark
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Yeganeh S, Torabizadeh C, Bahmani T, Molazem Z, Doust HY, Dehnavi SD. Examining the views of operating room nurses and physicians on the relationship between professional values and professional communication. BMC Nurs 2022; 21:17. [PMID: 35031042 PMCID: PMC8759190 DOI: 10.1186/s12912-021-00778-x] [Citation(s) in RCA: 4] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/14/2021] [Accepted: 12/02/2021] [Indexed: 11/10/2022] Open
Abstract
Purpose Professional communication and professional values are two basic concepts in operating rooms and should be studied more closely in view of the nature of work and the high circulation of patients in operating rooms. Methods The present work is a descriptive-analytic study with a cross-sectional design. The sample was 603 operating room physicians and personnel selected from the public hospitals of Shiraz. The data collection instruments were the 41-item professional communication questionnaire and the 26-item professional values scale. Results The results showed that the operating room nurses and physicians perceived the status of professional communication and professional values to be satisfactory. As for professional communication, the participants’ perception of the domains of mutual respect and trust (p ≤ 0.001), teamwork (p ≤ 0.001), ethical competence (p ≤ 0.017), and workplace conflicts (p ≤ 0.001) was significant. As for professional values, only the dimension of care (p ≤ 0.016) was perceived to be significant. Moreover, a significant positive relationship was found to exist between professional communication and professional values (p ≤ 0.001). Conclusion Considering the significance of the concept of professional communication and its connection with professional values, it is recommended that operating room personnel and physicians receive systematic education about professional communication and the harms of destructive attitudes as part of their academic education and afterwards.
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Affiliation(s)
- Sedigheh Yeganeh
- School of Nursing, Gerash University of Medical Sciences, Gerash, Iran
| | - Camellia Torabizadeh
- Community Based Psychiatric Care Research Center, Department of Nursing, School of Nursing and Midwifery, Shiraz University of Medical Sciences, Shiraz, Iran
| | - Tayebeh Bahmani
- Department of Operating Room, School of Allied Medical Sciences, Fasa University of Medical Sciences, Fasa, Iran.
| | - Zahra Molazem
- School of Nursing and Midwifery, Shiraz University of Medical Sciences, Shiraz, Iran
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Chang W, Lee Y. A Model to Explore how Communal Traits Affects Stay Intent Amongst Taiwanese Nurses. SAGE Open Nurs 2022; 8:23779608221097168. [PMID: 35574271 PMCID: PMC9096182 DOI: 10.1177/23779608221097168] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/26/2021] [Accepted: 04/09/2022] [Indexed: 11/17/2022] Open
Abstract
Aims This study discusses the model built to explore low levels of communal traits' influence on nurses' stay intent. Background The high turnover rate and low stay intent amongst Taiwan's nurses is a serious issue. One reason for the low stay intent is nurse-to-nurse interpersonal conflict. Surface-level difference, such as low levels of communal traits, may be an important antecedent factor. Previous studies have found that this type of conflict can frequently arise in female-to-female relationships. Design This was quantitative, cross-sectional research using a questionnaire survey. Method 249 registered nurses participated in the survey, which employed convenience sampling. The data was collected from January 10th 2020 to February 10th 2020. Results/Findings: We found that nurses with low levels of communal traits become frustrated, creating psychological need thwarting and decreasing stay intention. Belonging perception appears to weaken this. In addition, autonomy and relatedness of need thwarting but not competence mediates the relationship between frustration experience and stay intent. Unlike in past studies, this was not found to be an exclusively female phenomenon. Conclusion Improving belonging perception may be the answer to overcoming negative outcomes caused by surface-level difference in the nursing profession. However, why surface-level difference has a negative influence remains a question that needs to be further explored. In addition, Taiwanese nursing managers in this low status and relationship-oriented nursing culture should also focus on improving frontline nurses' confidence and self-conceptualizations.
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Affiliation(s)
- WenYing Chang
- Department of Business Administration, National Central University, Taoyuan
- Hoan Elder Protects Center, Taoyuan
| | - YiHsuan Lee
- Department of Business Administration, National Central University, Taoyuan
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14
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Chen X, Zhang Y, Zhang R, Shen G. 'I Accelerate' model: A grounded theory on conceptual framework of patient experience with nursing care in China. J Nurs Manag 2021; 29:1311-1319. [PMID: 33484629 DOI: 10.1111/jonm.13271] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/30/2020] [Revised: 01/14/2021] [Accepted: 01/19/2021] [Indexed: 11/28/2022]
Abstract
AIM To develop a conceptual framework of patient experience with nursing care. BACKGROUND Patient experience includes several aspects of health care delivery that patients value highly when they seek and receive care and is now increasingly used to evaluate the quality of care. Nurses are the backbone of the health care system, and patient experience with nursing care significantly influences the overall patient satisfaction and hospital performance. However, the conceptual framework of patient experience with nursing care is not clear. METHOD This grounded theory study employed in-depth interviews with 37 inpatients between March and May 2020. RESULTS An explanatory theoretical framework of the patient experience with nursing care emerged and was termed the 'I Accelerate' model; 'I Accelerate' stands for information and interpretation, appropriate attitude, close monitoring of progress, continuity of care, education, linking of the medical team, emotional support, responding to requests promptly, admission and discharge coordination, technical skills, and environment management, highlighting professional, emotional and coordinating functions of nurses. CONCLUSIONS This study resulted in a holistic nursing care model based on patients' views, values and preferences. IMPLICATIONS FOR NURSING MANAGEMENT To create a more therapeutic nurse-patient relationship and a more patient-centred health care system, hospital administrators, nursing managers and nursing practitioners should understand what patients desire and expect. Efforts should be made to explore the barriers and facilitators of using patient experience for quality improvement and to further determine how these patient-perceived attributes of nursing care can be rooted in the daily practice through organisational changes, culture shaping and staff education. There should be recognition of the potential need for psychological and emotional support, as well as of the importance of meeting communication and information needs.
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Affiliation(s)
- Xiao Chen
- Department of Nursing, Zhongshan Hospital of Fudan University, Shanghai, China
| | - Yuxia Zhang
- Department of Nursing, Zhongshan Hospital of Fudan University, Shanghai, China
| | - Ruili Zhang
- Department of Nursing, Zhongshan Hospital of Fudan University, Shanghai, China
| | - Guojing Shen
- Department of Nursing, Zhongshan Hospital of Fudan University, Shanghai, China
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15
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Xu J, Hicks-Roof K, Bailey CE, Hamadi HY. Older and Wiser? The Need to Reexamine the Impact of Health Professionals Age and Experience on Competency-Based Practices. SAGE Open Nurs 2021; 7:23779608211029067. [PMID: 34368438 PMCID: PMC8312189 DOI: 10.1177/23779608211029067] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/16/2020] [Accepted: 06/12/2021] [Indexed: 11/15/2022] Open
Abstract
INTRODUCTION Delivery of healthcare services makes up a complex system and it requires providers to be competent and to be able to integrate each of the institute of medicine's (IOM) 5 core competencies into practice. However, healthcare providers are challenged with the task to be able to understand and apply the IOM core competencies into practice. OBJECTIVE The purpose of the study was to examine the factors that influence health professional's likelihood of accomplishing the IOM core competencies. METHODS A cross-sectional study design was used to administer a validated online survey to health providers. This survey was distributed to physicians, nursing professionals, specialists, and allied healthcare professionals. The final sample included 3,940 participants who completed the survey. RESULTS The study findings show that younger health professionals more consistently practice daily competencies than their older counterparts, especially in the use of evidence-based practice, informatics, and working in interdisciplinary teams. Less experienced health professionals more consistently applied quality improvement methods but less consistently used evidence-based practice compared to their more experienced counterparts. CONCLUSION There is a need to understand how health professionals' age and experience impact their engagement with IOM's core competencies. This study highlights the need for educational resources on the competencies to be tailored to health providers' age and experience.
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Affiliation(s)
- Jing Xu
- Department of Health Administration, University of North Florida, Jacksonville, United States
| | - Kristen Hicks-Roof
- Department of Nutrition & Dietetics, Brooks College of Health, University of North Florida, Jacksonville, United States
| | - Chloe E. Bailey
- Department of Health Administration, University of North Florida, Jacksonville, United States
| | - Hanadi Y. Hamadi
- Department of Health Administration, University of North Florida, Jacksonville, United States
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Hitawala A, Flores M, Alomari M, Kumar S, Padbidri V, Muthukuru S, Rahman S, Alomari A, Khazaaleh S, Gopalakrishna KV, Michael M. Improving Physician-patient and Physician-nurse Communication and Overall Satisfaction Rates: A Quality Improvement Project. Cureus 2020; 12:e7776. [PMID: 32461851 PMCID: PMC7243623 DOI: 10.7759/cureus.7776] [Citation(s) in RCA: 9] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022] Open
Abstract
Introduction Communication between healthcare providers and patients is a key component associated with the quality of healthcare and patient satisfaction. Often, simple communication skills may be insufficient to sustain a successful provider-patient relationship. The aim of this project was to assess and improve patient and nurse satisfaction with physicians via improvement in physician-patient and physician-nurse communication to a level greater than 90%. Methods Initial surveys were given to the patients and nurses on admission to the regular nursing floor to assess current satisfaction rates. Afterward, visual handouts were given that provided details about the current medical team members and the role of each team member. which were updated daily along with the medical plan. Surveys were then handed out to the patients and their nurses at the time of discharge. All surveys were conducted anonymously. Results A total of 26 surveys (n = 13 patients, n = 13 nurses) were collected and analyzed for a preliminary assessment. Surveys concluded that 68.8% of patients were satisfied with the patient-provider communication; similarly, 74.4% of the nurses were satisfied with the nurse-provider communication. In the next six weeks, visual handouts were implemented. During this period, surveys involving a total of 40 patients and 40 nurses were collected. The results after the intervention revealed that 93.3% of patients were satisfied with the patient-provider communication, and 94.7% of nurses were satisfied with the nurse-provider communication. Post-intervention, the Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) displayed an improvement in physician communication, reaching the expected goal of 84.4%. Conclusion Ineffective communication often goes undetected in many healthcare settings, causing serious effects on the health and safety of patients, and may ultimately jeopardize overall satisfaction. Literature has shown a positive correlation between patient satisfaction and improved clinical outcomes. Using visual aids and updating medical care plans on a daily basis are simple yet effective tools to improve communication. Written materials should be created in a patient-friendly manner to enhance communication, clarity, and understanding.
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Affiliation(s)
- Asif Hitawala
- Internal Medicine, Cleveland Clinic - Fairview Hospital, Cleveland, USA
| | - Monica Flores
- Internal Medicine, Cleveland Clinic - Fairview Hospital, Cleveland, USA
| | | | - Sany Kumar
- Internal Medicine, Cleveland Clinic - Fairview Hospital, Cleveland, USA
| | - Vinay Padbidri
- Internal Medicine, Cleveland Clinic - Fairview Hospital, Cleveland, USA
| | | | - Shafia Rahman
- Hematology and Medical Oncology, Albert Einstein College of Medicine, New York, USA.,Internal Medicine, Cleveland Clinic Foundation, Cleveland, USA
| | - Ahmed Alomari
- Internal Medicine, The Hashemite University, Zarqa, JOR
| | | | - K V Gopalakrishna
- Internal Medicine, Cleveland Clinic - Fairview Hospital, Cleveland, USA
| | - Madonna Michael
- Internal Medicine, Cleveland Clinic - Fairview Hospital, Cleveland, USA
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