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Peguero-Rodriguez G, Polomeno V, Backman C, Chartrand J, Lalonde M. The Experience of Families Accompanying a Senior to the Emergency Department: A Scoping Review. J Emerg Nurs 2023:S0099-1767(23)00062-4. [PMID: 37178091 DOI: 10.1016/j.jen.2023.03.005] [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: 12/06/2022] [Revised: 03/28/2023] [Accepted: 03/28/2023] [Indexed: 05/15/2023]
Abstract
INTRODUCTION Seniors are often accompanied by a family member to the emergency department. Families advocate for their needs and contribute to the continuity of care. However, they often feel excluded from care. To improve the quality and safety of care for seniors, it is necessary to consider the experience of families in the emergency department. The aim was to identify and synthesize the available scientific literature dealing with the experience of families accompanying a senior to the emergency department. To identify and synthesize the available scientific literature dealing with the experience of families accompanying a senior to the emergency department. METHODS A scoping review was conducted using the Arksey and O'Malley framework. Six databases were targeted. A description of the identified scientific literature and an inductive content analysis were performed. RESULTS Of the 3082 articles retrieved, 19 met the inclusion criteria. Most articles (89%) were published since 2010, were from nursing (63%), and used a qualitative research design (79%). The content analysis identified 4 main categories related to the experience of families accompanying a senior to the emergency department: (1) process leading to the emergency department, families feel uncertainty and ambiguity with the decision to go to the emergency department; (2) staying in the emergency department, families' experiences are influenced by the triage, the ED environment, and the interactions with ED personnel; (3) discharge from the emergency department, families consider that they should be part of the discharge planning; and (4) recommendations and possible solutions, there is a paucity of recommendations specifically focused on families. DISCUSSION The experience of families of seniors in the emergency department is multifactorial and part of a trajectory of care and health services.
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Factors Predicting Older Patients' Family Involvement by Nursing Staff in Hospitals: The View of Hospital Nurses in Israel. Healthcare (Basel) 2022; 10:healthcare10101921. [PMID: 36292368 PMCID: PMC9602099 DOI: 10.3390/healthcare10101921] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/09/2022] [Revised: 09/23/2022] [Accepted: 09/27/2022] [Indexed: 11/04/2022] Open
Abstract
According to the family-centered approach, the involvement of family in the care of hospitalized older patients is a crucial element of quality care. Active involvement of family in care by the nursing staff depends on different factors, including attitudes towards the importance of family in the care and perception of the interactions with the family. This study aims to identify the factors predicting staff behavior of involving the family in the care process. A cross-sectional study was conducted among 179 nursing staff at a hospital, using a self-report questionnaire examining staff attitudes towards the importance of family in care, the perception of the interactions with the family (family behavior, communication and conflicts), and staff behavior toward family involvement. The findings point out the importance that staff attitudes have on their behavior in the active involvement of family in the care of older patients. Staff behavior of family involvement was predicted by their perceptions of the family (as conversational partners and having their own resources), less conflicts with the family, and staff academic education. Staff behavior toward family is influenced by their attitude and staff–family relationships. Educational programs should emphasize the importance of family, as well as dealing with conflicts.
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Study of the attitudes and future intentions of nursing students towards working with older people: an observational study. Aging Clin Exp Res 2021; 33:3117-3122. [PMID: 33786801 DOI: 10.1007/s40520-021-01840-z] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/30/2020] [Accepted: 03/17/2021] [Indexed: 10/21/2022]
Abstract
BACKGROUND Older people are increasing in the world leading to the fact that many nursing students will work in geriatric care setting. It was also reported the lack of knowledge and interest in working with older people by many nursing students. Therefore, the aim of the study is to explore the attitudes, wills, and intentions for the care of older people from nursing students. METHODS A sample of 383 students (mean age between 17 and 24; females: 76.2%) was divided according to the year. A questionnaire and three scales investigating the attitude for working with older persons (Kogan, Aday-Campbell, Nolan scales) were administered. Simple correlations across the three scales and the comparisons in means by year of graduation were reported. RESULTS Of the 383 students, 69.7% would take care of an older person, with the previous experience with older patients being the most important determinant in positive attitude of students in working with older people. The Kogan scale revealed a relatively positive attitude towards older people of the students involved; the Aday's scale a reasonable willingness to take care of the older people; the Nolan scale a fair intention. Aday's scale significantly correlated with Nolan's scale and with Kogan's scale as well as the Nolan scale correlated with the Kogan scale. CONCLUSION Our study suggests that the quality of care provided to older people is related to the attitudes of health professionals indicating that nursing educators should adopt effective strategies to increase and promote students' positive attitudes to older people.
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Hassankhani H, Soheili A, Vahdati SS, Amin Mozaffari F, Wolf LA, Wiseman T. "Me First, Others Later" A focused ethnography of ongoing cultural features of waiting in an Iranian emergency department. Int Emerg Nurs 2019; 47:100804. [PMID: 31679968 DOI: 10.1016/j.ienj.2019.100804] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/17/2018] [Revised: 08/27/2019] [Accepted: 09/13/2019] [Indexed: 11/28/2022]
Abstract
BACKGROUND Waiting is an inevitable experience in all emergency departments (EDs). This waiting time may negatively influence the patients and their relatives' satisfaction, healthcare professionals' (HCPs) performance, and the quality of care provided. This study aims to explore, gain understanding of and describe what it is like to wait in an Iranian emergency department (ED) with particular focus on cultural features. METHOD A focused ethnographic approach based on Spradley's (1980) developmental research sequence was conducted in the ED of a tertiary academic medical center in northwest Iran over a 9-month study period from July 2017 to March 2018. Participant observation, ethnographic interviews and examination of related documents and artefacts were used to collect data. All the data were recorded in either field notes or verbatim transcripts and were analysed using Spradley's ethnographic data analysis method concurrently. RESULTS The overarching theme of "Me first, others later" emerged. Within this overarching theme there were seven sub-themes as follows: human-related factors, system-related factors, patients and their relatives' beliefs and behaviors, HCPs' beliefs and behaviors, consequences for patients and their relatives, consequences for HCPs, and consequences for ED environment and care process. CONCLUSION The mentality 'me first, others later' as the main cultural barrier to emergency care, strenuously undermined our positive practice environment. An accountable patient/relative support liaison, a clearly-delineated process of ED care delivery, guidelines for providing culturally competent ED care, and public awareness programs are needed to address the concerns and conflicts which establish a mutual trust and rapport.
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Affiliation(s)
- Hadi Hassankhani
- Dept. of Medical Surgical Nursing, School of Nursing and Midwifery, Research Center for Evidence-Based Medicine, Tabriz University of Medical Sciences, Tabriz, Iran.
| | - Amin Soheili
- Dept. of Emergency Nursing, School of Nursing and Midwifery, Nursing Care Research Center, Semnan University of Medical Sciences, Semnan, Iran.
| | - Samad Shams Vahdati
- Dept. of Emergency Medicine, School of Medicine, Road Traffic Injury Research Center, Tabriz University of Medical Sciences, Tabriz, Iran
| | - Farough Amin Mozaffari
- Dept. of Social Sciences, School of Law and Social Sciences, University of Tabriz, Tabriz, Iran
| | - Lisa A Wolf
- Institute for Emergency Nursing Research, Emergency Nurses Association, Des Plaines, IL, United States.
| | - Taneal Wiseman
- Susan Wakil School of Nursing and Midwifery, Sydney Nursing School, Australia.
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Riviere M, Dufoort H, Van Hecke A, Vandecasteele T, Beeckman D, Verhaeghe S. Core elements of the interpersonal care relationship between nurses and older patients without cognitive impairment during their stay at the hospital: A mixed-methods systematic review. Int J Nurs Stud 2019; 92:154-172. [PMID: 30826498 DOI: 10.1016/j.ijnurstu.2019.02.004] [Citation(s) in RCA: 17] [Impact Index Per Article: 3.4] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/17/2018] [Revised: 01/18/2019] [Accepted: 02/04/2019] [Indexed: 11/19/2022]
Abstract
BACKGROUND The fundamental importance of establishing an interpersonal care relationship for quality nursing care has been highlighted. However specific elements of the interpersonal care relationship of importance to older patients in the hospital have not been identified. OBJECTIVES The aim of this review was to explore and synthesise research findings regarding the elements of the interpersonal care relationship concept from the perspectives of older patients. DESIGN A systematic mixed-methods review. DATA SOURCES An extensive search was conducted up until October 2018 for articles without any publication date time limit in PubMed, Web of Science, Cochrane Database of Systematic Reviews and CINAHL. REVIEW METHODS Primary studies were included if they concerned patients aged 65 years or older and their perspectives on the elements of the interpersonal care relationship with nurses. Inclusion was limited to patients without cognitive impairment who were admitted to an acute hospital setting. The methodological quality of each study was assessed using the Critical Appraisal Skills Programme for qualitative studies, the Quality Assessment Tool for Quantitative Studies and the Mixed-Methods Appraisal Tool. Thematic analysis was used to structure the results of the included studies. RESULTS Of the 7596 studies found, 24 were included in this review. Twenty articles had a qualitative, three a quantitative and one a mixed methods design. Older patients consider dignity and respect as core values that need to be met in the interpersonal care relationship. Five core elements of the interpersonal care relationship were identified to meet these core values: elements related to caring behaviour and attitude, person-centred care, patient participation, communication and situational aspects. These core elements were structured according to three categories, identified in the literature, that determine the quality of the interpersonal care relationship: nurse-, older-patient-related elements and situational aspects. CONCLUSIONS The elements identified in this review can guide efforts to define the interpersonal care relationship between older patients and nurses. Nurses should be supported and motivated by education and practice to adapt their behaviour, attitudes and communication to meet older patients' expectations. Hospital management can also encourage nurses to communicate well. Investment in the current organisation of care is needed to improve nurses' work overload and presence. Further research is needed to clarify the underlying processes influencing the experience of the interpersonal care relationship from the perspectives of older patients, nurses, informal caregivers and hospital management.
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Affiliation(s)
- M Riviere
- University Centre for Nursing and Midwifery, Department of Public Health and Primary Care, Ghent University, Ghent, Belgium; Department Health Care, VIVES University College, Roeselare, Belgium; AZ Delta, General Hospital, Roeselare, Belgium.
| | - H Dufoort
- AZ Delta, General Hospital, Roeselare, Belgium.
| | - A Van Hecke
- University Centre for Nursing and Midwifery, Department of Public Health and Primary Care, Ghent University, Ghent, Belgium; Nursing Department, Ghent University Hospital, Ghent, Belgium.
| | - T Vandecasteele
- University Centre for Nursing and Midwifery, Department of Public Health and Primary Care, Ghent University, Ghent, Belgium; Department Health Care, VIVES University College, Roeselare, Belgium.
| | - D Beeckman
- University Centre for Nursing and Midwifery, Department of Public Health and Primary Care, Ghent University, Ghent, Belgium; Skin Integrity Research Group (SKINT), University Centre for Nursing and Midwifery, Department of Public Health and Primary Care, Ghent University, Belgium; School of Health Sciences, Örebro University, Sweden; School of Nursing and Midwifery, Royal College of Surgeons in Ireland (RCSI), Dublin, Ireland.
| | - S Verhaeghe
- University Centre for Nursing and Midwifery, Department of Public Health and Primary Care, Ghent University, Ghent, Belgium; Department Health Care, VIVES University College, Roeselare, Belgium.
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Goodridge D, Martyniuk S, Stempien J. At Risk for Emotional Harm in the Emergency Department: Older Adult Patients' and Caregivers' Experiences, Strategies, and Recommendations. Gerontol Geriatr Med 2018; 4:2333721418801373. [PMID: 30263907 PMCID: PMC6149014 DOI: 10.1177/2333721418801373] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/27/2018] [Revised: 08/20/2018] [Accepted: 08/27/2018] [Indexed: 12/30/2022] Open
Abstract
Background: Emergency departments (ED) serve a critical role in addressing the health care needs of older adults, although organizational and provider characteristics can result in unintended negative outcomes for this population, such as emotional harm. This study aimed to describe the patient experience of older adults in the ED and generate recommendations for enhancing their experience. Methods: Data from focus groups and individual interviews of older adults and caregivers who had visited the ED were thematically analyzed. Results: Ten focus groups and individual interviews of 41 older adults and 15 caregivers were conducted. Health system and provider factors affecting the patient experience were identified. Participants negotiated their experience using diverse strategies. Recommendations for improving the ED experience were generated. Conclusions: Older adults attending the ED are at risk for health care-related emotional harm unrelated to their entrance complaint, which could be mitigated by addressing organizational and attitudinal factors.
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Lennox A, Braaf S, Smit DV, Cameron P, Lowthian JA. Caring for older patients in the emergency department: Health professionals' perspectives from Australia - The Safe Elderly Emergency Discharge project. Emerg Med Australas 2018; 31:83-89. [PMID: 29797787 DOI: 10.1111/1742-6723.13108] [Citation(s) in RCA: 22] [Impact Index Per Article: 3.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/20/2017] [Revised: 03/30/2018] [Accepted: 04/25/2018] [Indexed: 11/30/2022]
Abstract
OBJECTIVE To explore health professionals' perspectives about caring for community-dwelling older patients in the ED. METHODS This exploratory qualitative study was undertaken with emergency nursing, medical and allied health staff from the ED of a large metropolitan public hospital in Melbourne. Nine focus groups (n = 54) and seven interviews were conducted between 2013 and 2014. Data were thematically analysed. RESULTS Health professionals described tailoring their approach when caring for older patients, including adopting a specific communication approach (i.e. increased voice volume, slower rate of speech). Caring for older patients was perceived as challenging given the need to balance the expectations of family members to deal with associated complex needs and limited time for transitional care planning in the ED. The environment and equipment were perceived as unsuitable, alongside a lack of geriatric-specific knowledge; contributing to what health professionals described as a poor fit between the ED system and older patients' needs. CONCLUSION The growing number of older patients presents numerous challenges for emergency health professionals and necessitates a tailored approach to care. Understanding health professionals' perspectives about caring for older patients can inform strategies that may improve the quality of care. Creating older person-friendly areas, improving transitional care and providing staff with specific education would foster an environment that promotes person-centred care, safety, independence and functional wellbeing.
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Affiliation(s)
- Alyse Lennox
- School of Public Health and Preventive Medicine, Monash University, Melbourne, Victoria, Australia
| | - Sandra Braaf
- School of Public Health and Preventive Medicine, Monash University, Melbourne, Victoria, Australia
| | - De Villiers Smit
- Emergency and Trauma Centre, Alfred Health, Melbourne, Victoria, Australia
| | - Peter Cameron
- School of Public Health and Preventive Medicine, Monash University, Melbourne, Victoria, Australia.,Emergency and Trauma Centre, Alfred Health, Melbourne, Victoria, Australia
| | - Judy A Lowthian
- School of Public Health and Preventive Medicine, Monash University, Melbourne, Victoria, Australia
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Hoffmann E, Olsen PR. Like an ace up the sleeve: an interview study of nurses’ experiences of the contact with relatives in a somatic emergency ward. Scand J Caring Sci 2018; 32:1207-1214. [DOI: 10.1111/scs.12566] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/15/2017] [Accepted: 01/24/2018] [Indexed: 01/26/2023]
Affiliation(s)
- Eva Hoffmann
- University College South Denmark; Aabenraa Denmark
| | - Pia Riis Olsen
- Department of Oncology; Aarhus University Hospital; Aarhus C Denmark
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Moustafa F, Macian N, Giron F, Schmidt J, Pereira B, Pickering G. Intervention Study with Algoplus®: A Pain Behavioral Scale for Older Patients in the Emergency Department. Pain Pract 2016; 17:655-662. [DOI: 10.1111/papr.12498] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/17/2016] [Revised: 07/04/2016] [Accepted: 07/08/2016] [Indexed: 11/28/2022]
Affiliation(s)
| | - Nicolas Macian
- CHU Clermont-Ferrand; Clinical Pharmacology Department; Clermont-Ferrand France
| | - Fatiha Giron
- CHU Clermont-Ferrand; Clinical Pharmacology Department; Clermont-Ferrand France
| | | | - Bruno Pereira
- CHU Clermont-Ferrand; Biostatistics Unit; Clermont-Ferrand France
| | - Gisèle Pickering
- CHU Clermont-Ferrand; Clinical Pharmacology Department; Clermont-Ferrand France
- Inserm 1107 and 1405; Clermont-Ferrand France
- Pharmacology Department; Medical Faculty; Clermont University; Clermont-Ferrand France
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Abdollahimohammad A, Firouzkouhi M, Amrollahimishvan F, Alimohammadi N. Nurses versus physicians' knowledge, attitude, and performance on care for the family members of dying patients. KOREAN JOURNAL OF MEDICAL EDUCATION 2016; 28:79-85. [PMID: 26838571 PMCID: PMC4926936 DOI: 10.3946/kjme.2016.12] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 11/11/2015] [Revised: 12/01/2015] [Accepted: 12/01/2015] [Indexed: 06/05/2023]
Abstract
PURPOSE Nurses and physicians must be competent enough to provide care for the clients. As a lack of knowledge and a poor attitude result in a low performance of delivering care, this study aimed to explore the nurses versus physicians' knowledge, attitude, and performance on care for the family members of dying patients (FMDPs). METHODS This descriptive study was conducted at the educational hospitals in Isfahan, Iran. The samples were 110 nurses and 110 physicians. The data were collected through a convenience sampling method and using a valid and reliable questionnaire. RESULTS The average knowledge, attitude, and performance on care for the FMDPs were not significantly different between nurses and physicians (p>0.05). The majority of nurses (55.4%) and physician (63.6%) were at a moderate and a fair level of knowledge of care for the FMDPs. Most of the nurses (81%) and physicians (87.3%) had a positive attitude towards caring the FMDPs. Most of the nurses (70%) and physicians (86.3%) had a moderate and fair performance. CONCLUSION Having enough knowledge and skills, and a positive attitude are necessary for caring the FMDPs. Nurses' and physicians' competencies must be improved through continuing educational programs and holding international and national conferences with a focus on the palliative care.
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Gallagher R, Gallagher P, Roche M, Fry M, Chenoweth L, Stein-Parbury J. Nurses' perspectives of the impact of the older person on nursing resources in the emergency department and their profile: A mixed methods study. Int Emerg Nurs 2015; 23:312-6. [DOI: 10.1016/j.ienj.2015.03.006] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/27/2014] [Revised: 03/18/2015] [Accepted: 03/25/2015] [Indexed: 11/28/2022]
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Morphet J, Decker K, Crawford K, Innes K, Williams AF, Griffiths D. Aged care residents in the emergency department: the experiences of relatives. J Clin Nurs 2015; 24:3647-53. [DOI: 10.1111/jocn.12954] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 05/17/2015] [Indexed: 11/28/2022]
Affiliation(s)
- Julia Morphet
- School of Nursing & Midwifery Monash University Frankston Vic. Australia
| | - Kelly Decker
- School of Nursing & Midwifery Monash University Frankston Vic. Australia
| | | | - Kelli Innes
- School of Nursing & Midwifery Monash University Frankston Vic. Australia
| | | | - Debra Griffiths
- School of Nursing & Midwifery Monash University Frankston Vic. Australia
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Stein-Parbury J, Gallagher R, Fry M, Chenoweth L, Gallagher P. Expectations and experiences of older people and their carers in relation to emergency department arrival and care: A qualitative study in Australia. Nurs Health Sci 2015; 17:476-82. [DOI: 10.1111/nhs.12220] [Citation(s) in RCA: 14] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/02/2014] [Revised: 02/04/2015] [Accepted: 02/24/2015] [Indexed: 12/30/2022]
Affiliation(s)
| | - Robyn Gallagher
- Sydney Nursing School and Charles Perkins Centre; University of Sydney; New South Wales Australia
| | - Margaret Fry
- Faculty of Health; University of Technology; New South Wales Australia
- Nursing and Midwifery; Northern Sydney Local Health District; New South Wales Australia
| | - Lynn Chenoweth
- Faculty of Health; University of Technology; New South Wales Australia
| | - Patrick Gallagher
- Faculty of Health; University of Technology; New South Wales Australia
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İşlekdemir B, Kaya N. Effect of family presence on pain and anxiety during invasive nursing procedures in an emergency department: A randomized controlled experimental study. Int Emerg Nurs 2015; 24:39-45. [PMID: 26067095 DOI: 10.1016/j.ienj.2015.05.008] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/25/2014] [Revised: 05/18/2015] [Accepted: 05/26/2015] [Indexed: 10/23/2022]
Abstract
BACKGROUND Patients generally prefer to have their family present during medical or nursing interventions. Family presence is assumed to reduce anxiety, especially during painful interventions. AIM This study employed a randomized controlled experimental design to determine the effects of family presence on pain and anxiety during invasive nursing procedures. METHOD The study population consisted of patients hospitalized in the observation unit of the internal medicine section in the emergency department of a university hospital. The sample comprised 138 patients assigned into the experimental and control groups by drawing lots. The invasive nursing procedure was carried out in the presence of family members, for members of the experimental group, and without family members, for members of the control group. Thus, the effects of family presence on pain and anxiety during the administration of an invasive nursing procedure to patients were analyzed. RESULTS The results showed that members of the experimental and control groups did not differ with respect to the pain and state anxiety scores during the intervention. CONCLUSION Family presence does not influence the participants' pain and anxiety during an invasive nursing procedure. Thus, the decision regarding family presence during such procedures should be based on patient preference.
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Affiliation(s)
- Burcu İşlekdemir
- Cerrahpaşa Medical Faculty, Emergency Medical Department, Istanbul University, İstanbul Üniversitesi Cerrahpaşa Tıp Fakültesi Yerleşkesi Kocamustafapaşa Cd. No: 53 Cerrahpaşa, 34098 Fatih, İstanbul, Turkey
| | - Nurten Kaya
- Health Sciences Faculty, Istanbul University, Demirkapı Cad. Karabal Sk. Bakırköy Ruh ve Sinir Hastalıkları Hastanesi Bahçesi içi, 34740 Bakırköy, Istanbul, Turkey.
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Gallagher R, Fry M, Chenoweth L, Gallagher P, Stein-Parbury J. Emergency department nurses' perceptions and experiences of providing care for older people. Nurs Health Sci 2014; 16:449-53. [PMID: 24645872 DOI: 10.1111/nhs.12137] [Citation(s) in RCA: 20] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/18/2013] [Revised: 01/20/2014] [Accepted: 01/22/2014] [Indexed: 11/29/2022]
Abstract
Emergency department nurses are challenged to provide safe, quality care to older people; however, nurses' perceptions of their role and experiences are seldom investigated. This focus-group study investigated emergency department nurses' perceptions and experiences of caring for older people, using four focus groups of nurses with a minimum three months' experience in the emergency department and a demographic survey. Data were thematically analyzed. Two themes emerged. The first was the clash of expectations between nurses and family/carers related to safety and quality of nursing care. Older people were perceived to be vulnerable in the emergency department, and nurses were frustrated that competing priorities decreased their ability to ensure them safe and quality care. Nurses felt family/carers were disappointed with care provided, and might not empathize with or understand their predicament. The second theme concerned nurses' perception that family/carers could provide a safety net for the older person in the emergency department in times of high workload. Nurses need support to care for older people in the emergency department to ensure safe and optimal care, and a shared understanding of care provision between nurses and family needs development.
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Affiliation(s)
- Robyn Gallagher
- Faculty of Health, University of Technology, Sydney, Australia
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Kourkouta L, Papathanasiou IV. Communication in nursing practice. Mater Sociomed 2014; 26:65-7. [PMID: 24757408 PMCID: PMC3990376 DOI: 10.5455/msm.2014.26.65-67] [Citation(s) in RCA: 146] [Impact Index Per Article: 14.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/11/2013] [Accepted: 02/15/2014] [Indexed: 11/03/2022] Open
Abstract
Good communication between nurses and patients is essential for the successful outcome of individualized nursing care of each patient. To achieve this, however, nurses must understand and help their patients, demonstrating courtesy, kindness and sincerity. Also they should devote time to the patient to communicate with the necessary confidentiality, and must not forget that this communication includes persons who surround the sick person, which is why the language of communication should be understood by all those involved in it. Good communication also is not only based on the physical abilities of nurses, but also on education and experience.
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Affiliation(s)
- Lambrini Kourkouta
- Nursing Department, Technological Educational Institute of Thessaloniki, Greece
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