1
|
Pehlivan Sarıbudak T, Üstün B. Cancer patients' perceptions of nursing: Expectations & realities, a phenomenological study. Eur J Oncol Nurs 2024; 70:102603. [PMID: 38759509 DOI: 10.1016/j.ejon.2024.102603] [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: 07/03/2023] [Revised: 04/01/2024] [Accepted: 05/01/2024] [Indexed: 05/19/2024]
Abstract
PURPOSE Determining the perception and expectations of cancer patients will inform nurses' understanding of how to conduct nursing care to meet patients' needs. Studies have mainly used quantitative methods to understand nursing image from the perspective of the public and the profession, and there are no recent studies to date on nursing image from the perspective of cancer patients. The aim of this qualitative study was to explore cancer patients' experiences and perceptions of nursing within the conceptual framework of Watson's Human Care Theory. METHODS In total, 19 phenomenological semi-structured interviews were conducted with cancer patients between November 2022 and January 2023. Data were analyzed using Assarroudi et al.'s content analysis. RESULTS Three themes emerged from the phenomenological analysis of the interviews: (1) nursing image, (2) expectations, and (3) realities. Patients stated that nurses act as assistants and that health services cannot be provided without them. Under the main theme of 'expectations,' five subthemes emerged: psychosocial care, physical care, ethics, individual characteristics, and no expectations, while the theme of 'realities' contained two subthemes: (1) satisfaction with nurse behaviors, and (2) dissatisfaction with nurse behaviors. CONCLUSIONS Our study provides important insight for nurses working with cancer patients in the management of patient care and treatment. Empowering cancer nurses will increase patient care satisfaction. We recommend the implementation of programs designed to support nurses and improve nursing communication skills. We also recommend that the technical and psychosocial aspects of nursing care should be considered as a whole.
Collapse
Affiliation(s)
| | - Besti Üstün
- Retired Faculty Member, Independent Researcher, İzmir, Turkey.
| |
Collapse
|
2
|
Taylan S, Çelik GK. Experiences of Patients Undergoing Bypass Surgery With Health Professionals During the Perioperative Care Process: A Hermeneutic Phenomenological Study. J Perianesth Nurs 2022; 37:802-806. [PMID: 35753933 DOI: 10.1016/j.jopan.2021.11.016] [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: 07/11/2021] [Revised: 11/22/2021] [Accepted: 11/28/2021] [Indexed: 11/27/2022]
Abstract
PURPOSE To determine the experiences and perceptions of patients who underwent Coronary Artery Bypass Graft (CABG) surgery with perioperative health care professionals. DESIGN The study used a qualitative research design and was conducted by interviewing eight patients who underwent CABG surgery. METHODS Study data were collected between April 24, 2020 and February 25, 2021 via a demographic information form and a semi-structured interview form and analyzed by using Heidegger's phenomenological approach. FINDINGS The participants were between the ages of 51 and 70. They were patients who had undergone CABG surgery 2 months before data collection. Two themes were elicited from the interviews: "If you are bad, I am bad, too", which indicated negative experiences of CABG, and "If you are good, I am safe", which indicated positive patient experiences. In addition, eight sub-themes were determined under these two themes. CONCLUSIONS In the perioperative process, patients may experience feelings of restlessness, fear, vulnerability, insecurity, and threat when ignored by health care professionals. The provision of interaction between the health professional and the patient, along with family support, changes the perceived care positively and makes patients feel cared for, well, and safe. Awareness of health care professionals about patient experiences during the CABG surgery process points to an important aspect of quality health care.
Collapse
Affiliation(s)
- Seçil Taylan
- Surgical Nursing Department, Kumluca Faculty of Health Sciences, Akdeniz University, Kumluca-Antalya, Turkey.
| | - Gülden Küçükakça Çelik
- Nursing Department, Semra ve Vefa Faculty of Health Sciences, Hacı Bektaşi Veli University, Nevşehir, Turkey
| |
Collapse
|
3
|
Johnson KD, Lindsell CJ, Froehle C, Gillespie GL. Interruption of initial patient assessment in the emergency department and its effect on patient perception of care quality. Int J Qual Health Care 2021; 33:6423704. [PMID: 34750630 DOI: 10.1093/intqhc/mzab146] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/08/2021] [Revised: 10/01/2021] [Accepted: 11/08/2021] [Indexed: 01/02/2023] Open
Abstract
BACKGROUND Triage is a critical first step in appropriately caring for patients in the emergency department (ED). Patients' assumptions of the care they will receive can be established in triage. Interruptions to this process can disrupt patient flow, cause errors and lead to patient dissatisfaction. OBJECTIVE The purpose of this study was to determine how the frequency and duration of interruptions during triage are associated with errors, patient satisfaction and patient's perception of the care they received. METHODS Prospective, observational, cohort study conducted in the ED of a Level 1 trauma center. Interruptions were measured using time-and-motion observations of triage interviews performed by nurses and physicians. Patients were surveyed immediately after triage interviews were complete. RESULTS Surveys were completed for 178 observations. In total, 62.9% of the observations were interrupted between 1 and 5 times. While interruptions did not significantly influence patient satisfaction directly, interruptions positively influenced triage duration, which was negatively associated with patient satisfaction. Increased errors were associated with increasing frequency of triage interruptions. Triage interruptions were not associated with either patient satisfaction or perceived caregiver competence. Overall, the majority (76.6%) of patients were satisfied with their care; patient satisfaction was associated with the perceived competency of caregivers but was not associated with errors. CONCLUSION Interruptions are associated with increased errors and delays in patient care. Although increased triage duration adversely affected patient satisfaction, patients' perceptions were not influenced by interruptions. While patient satisfaction is essential, a lack of association between patient satisfaction and errors suggests that using patient satisfaction as a measure of care quality may omit important safety information.
Collapse
Affiliation(s)
- Kimberly D Johnson
- College of Nursing, University of Cincinnati, (UC) 3110 Vine St Cincinnati, Cincinnati, OH 45221, USA
| | - Christopher J Lindsell
- Department of Biostatistics, Vanderbilt University Medical Center, (vanderbilt) 2201 West End Ave, Nashville, TN 37235, USA
| | - Craig Froehle
- Department Head-Operations, Business Analytics & Information Systems, UC Lindner College of Business, Cincinnati, OH 45221, USA.,Department of Emergency Medicine, UC College of Medicine, Cincinnati, OH 45221, USA
| | - Gordon Lee Gillespie
- Graduate Occupational Health Nursing Program, University of Cincinnati College of Nursing, Cincinnati, OH 45221-0038, USA
| |
Collapse
|
4
|
Nabizadeh-Gharghozar Z, Alavi NM, Ajorpaz NM. Clinical competence in nursing: A hybrid concept analysis. NURSE EDUCATION TODAY 2021; 97:104728. [PMID: 33348301 DOI: 10.1016/j.nedt.2020.104728] [Citation(s) in RCA: 37] [Impact Index Per Article: 12.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 04/04/2020] [Revised: 11/20/2020] [Accepted: 12/07/2020] [Indexed: 06/12/2023]
Abstract
BACKGROUND Clinical competence (CC) is central issue in nursing. There are some controversies about this concept that needs further investigation. The present study was conducted to analyze the concept of clinical competence in nursing. METHODS This concept analysis was conducted using the three-phase hybrid model. In the theoretical phase, the Science Direct, PubMed, CINAHL, ProQuest, Scopus, Web of Science, SID, Iranmedex, and Magiran databases were searched to retrieve articles published from 2000 to 2020. Forty two eligible articles were included and analyzed. In the fieldwork phase, semi-structured interviews were held with eighteen university lecturers, clinical instructors, students, and hospital nurses and the data were analyzed through conventional content analysis. In the final analytic phase, the findings of the first and the second phases were combined. RESULTS The majority of literature defined CC in nursing as a combination of knowledge, and skills, and attitudes that is consistent with those of the fieldwork phase. Most participants in fieldwork stated that gaining CC is a process that is achieved over time through practice and repetition and increasing experience. A nurse needs to acquire personal, social and professional competencies during the study and work period. The CC has antecedents of efficient education, and organizational support. It also has consequences for patients and nurses such as satisfaction, and quality care. CONCLUSION CC is a continuous process of obtaining knowledge, values, and attitudes, and skills such as critical thinking skills that brings creativity and innovation in nursing practice.
Collapse
Affiliation(s)
| | - Negin Masoudi Alavi
- Trauma Nursing Research Center, Kashan University of Medical Sciences, Kashan, Iran.
| | - Neda Mirbagher Ajorpaz
- Autoimmune diseases Research Center, Kashan University of Medical Sciences, Kashan, Iran.
| |
Collapse
|
5
|
Ness TM, Söderberg S, Hellzèn O. ‘The same care providers over time who make individual adjustments and have competence’ Older South Sami People in Sweden's expectations of home nursing care. Scand J Caring Sci 2019; 34:181-189. [DOI: 10.1111/scs.12719] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/20/2018] [Accepted: 05/14/2019] [Indexed: 11/28/2022]
Affiliation(s)
- Tove M. Ness
- Faculty of Nursing and Health Sciences Nord University Namsos Norway
| | - Siv Söderberg
- Department of Nursing Mid‐Sweden University Östersund Sweden
| | - Ove Hellzèn
- Department of Nursing Mid‐Sweden University Sundsvall Sweden
| |
Collapse
|
6
|
Luengo-Martínez C, Paravic-Klijn T, Burgos-Moreno M, López-Espinoza MÁ. Adaptación transcultural del instrumento Karen Personal para medir la percepción de la calidad del cuidado en enfermeras de hospital. ENFERMERIA CLINICA 2019; 29:146-154. [DOI: 10.1016/j.enfcli.2018.10.007] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/05/2017] [Revised: 07/26/2018] [Accepted: 10/11/2018] [Indexed: 11/29/2022]
|
7
|
Nhongo D, Hendricks J, Bradshaw J, Bail K. Leadership and registered nurses (RNs) working after-hours in Residential Aged Care Facilities (RACFs): A structured literature review. J Clin Nurs 2018; 27:3872-3881. [DOI: 10.1111/jocn.14565] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 06/03/2018] [Indexed: 11/28/2022]
Affiliation(s)
| | | | | | - Kasia Bail
- Canberra University; Canberra ACT Australia
| |
Collapse
|
8
|
Ter Beest H, van Bemmel M, Adriaansen M. Nursing student as patient: experiential learning in a hospital simulation to improve empathy of nursing students. Scand J Caring Sci 2018; 32:1390-1397. [PMID: 29920725 DOI: 10.1111/scs.12584] [Citation(s) in RCA: 23] [Impact Index Per Article: 3.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/04/2017] [Accepted: 04/17/2018] [Indexed: 12/01/2022]
Abstract
BACKGROUND Empathy is an important factor in the relation nurse-patient. To develop empathy in bachelor nursing students is a challenge in nursing education. There are several small experiential learning methods that develop empathy in nursing students, although not in a hospital simulation. By experiencing the role of a patient, nursing students would learn important aspects of empathy. AIM This research will explore what nursing students learn about empathy in the relation nurse-patient, while they lie in bed as a patient seeing the nurse from another perspective. METHODOLOGICAL DESIGN Qualitative descriptive study on 75 reflections of bachelor nursing students. RESULTS Students experienced the need for empathy and were confronted with the patient's experiential world, being dependent, enduring hospital life and needing attention from the nurse. CONCLUSION The change in perspective in the hospital simulation gives nursing students valuable insights in the importance of empathy in the relation patient-nurse. Four themes were identified: endurance, silent scream for attention, scary dependency and confrontation with the role of patient. Students learned about the possibilities and difficulties of empathy in different stages of the simulation. A hospital simulation is a useful and practical method to teach students empathy from the patients' perspective, on condition that there is a solid preparation for experiential learning.
Collapse
Affiliation(s)
- Hanneke Ter Beest
- Faculty of Health and Social Studies, HAN University of Applied Sciences, Nijmegen, The Netherlands
| | - Marlies van Bemmel
- Faculty of Health and Social Studies, HAN University of Applied Sciences, Nijmegen, The Netherlands
| | - Marian Adriaansen
- Faculty of Health and Social Studies, HAN University of Applied Sciences, Nijmegen, The Netherlands
| |
Collapse
|
9
|
Deasey D, Kable A, Jeong S. An exploration of emergency nurses' understanding of the ageing process and knowledge of their older patient: A comparison between regional and metropolitan nurses in Australia. Int Emerg Nurs 2018; 37:44-51. [DOI: 10.1016/j.ienj.2016.03.004] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/22/2015] [Revised: 03/01/2016] [Accepted: 03/20/2016] [Indexed: 10/21/2022]
|
10
|
Hweidi IM. Prevalence of depression and its associated factors in patients post-coronary artery bypass graft surgery. J Res Nurs 2018; 23:76-88. [PMID: 34394410 PMCID: PMC7932255 DOI: 10.1177/1744987117728314] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022] Open
Abstract
This research aimed to determine the depression level and its correlation experienced by post-coronary artery bypass graft patients after being discharged from cardiac intensive care units. A cross-sectional design was employed for assessing variables. The Self-rating Depression Scale, as proposed by Zung, was used by the researchers on a convenience sample of Jordanian patients (N = 143) who were approached soon after their discharge from the targeted units. The results suggested that the level of depression among Jordanian patients was relatively high (M = 62.7, SD = 5.6). Moreover, depression was significantly higher among female, unmarried and unemployed patients. Patients who received their information about coronary artery bypass graft surgery from nurses had a lower level of depression. Age, length of stay in the cardiac intensive care unit and hospital type significantly predicted the level of depression. The research concluded that the post-coronary artery bypass graft patients who experienced an early onset depression required more attention to highlight the importance of supportive interventions.
Collapse
Affiliation(s)
- Issa M Hweidi
- Associate Professor, Faculty of Nursing, Adult Health
Nursing Department, Jordan University of Science and Technology, Jordan
| |
Collapse
|
11
|
Olsen PR, Gjevjon ER. Perspectives: European Academy of Nursing Science debate 2016: Are there any aspects unique to nursing? J Res Nurs 2017. [DOI: 10.1177/1744987117700219] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022] Open
Affiliation(s)
- Pia Riis Olsen
- Lecturer, Clinical Nurse Specialist and Research Nurse, Department of Oncology, Aarhus University Hospital, Denmark
| | | |
Collapse
|
12
|
Revell S, Searle J, Thompson S. The information needs of patients receiving procedural sedation in a hospital emergency department. Int Emerg Nurs 2017; 33:20-25. [PMID: 28457743 DOI: 10.1016/j.ienj.2016.12.006] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/27/2016] [Revised: 11/11/2016] [Accepted: 12/26/2016] [Indexed: 11/16/2022]
Abstract
This research investigated the information needs of patients receiving ED procedural sedation to determine the best format to consistently deliver key information in a way acceptable to all involved. Of particular interest was the question concerning patients' need for receiving written information. A descriptive exploratory study gathered qualitative data through face-to-face interviews and focus groups involving patients, nurses and medical staff. Individual interviews were conducted with eight adult patients following procedural sedation. They identified very few gaps in terms of specific information they needed pertaining to procedural sedation and rejected the need for receiving information in a written format. Their information needs related to a central concern for safety and trust. Focus groups, reflecting on the findings from patients, were conducted with five ED nurses and four emergency medicine consultants/registrars who regularly provided procedural sedation. Themes that emerged from the analysis of data from all three groups identified the issues concerning patient information needs as being: competence and efficiency of staff; explanations of procedures and progress; support person presence; and medico-legal issues. The research confirms that the quality of the patient's ED experience, specifically related to procedural sedation, is enhanced by ED staff, especially nurses, providing them with ongoing and repeated verbal information relevant to their circumstances.
Collapse
Affiliation(s)
- Sue Revell
- Hawke's Bay District Health Board, Hastings, New Zealand
| | - Judy Searle
- Eastern Institute of Technology, Taradale, Hawkes Bay, New Zealand
| | - Shona Thompson
- Eastern Institute of Technology, Taradale, Hawkes Bay, New Zealand.
| |
Collapse
|
13
|
Christiansen B, Feiring M. Challenges in the nurse's role in rehabilitation contexts. J Clin Nurs 2017; 26:3239-3247. [DOI: 10.1111/jocn.13674] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 11/12/2016] [Indexed: 11/28/2022]
Affiliation(s)
- Bjørg Christiansen
- Department of Nursing and Health Promotion; Faculty of Health Sciences; Oslo and Akershus University College of Applied Sciences; Oslo Norway
| | - Marte Feiring
- Department of Physiotherapy; Faculty of Health Sciences; Oslo and Akershus University College of Applied Sciences; Oslo Norway
| |
Collapse
|
14
|
Linqvist Leonardsen AC, Del Busso L, Abrahamsen Grøndahl V, Ghanima W, Barach P, Jelsness-Jørgensen LP. A qualitative study of patient experiences of decentralized acute healthcare services. Scand J Prim Health Care 2016; 34:317-24. [PMID: 27559763 PMCID: PMC5036023 DOI: 10.1080/02813432.2016.1222200] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/23/2022] Open
Abstract
OBJECTIVE Municipality acute wards (MAWs) have recently been launched in Norway as an alternative to hospitalizations, and are aimed at providing treatment for patients who otherwise would have been hospitalized. The objective of this study was to explore how patients normally admitted to hospitals perceived the quality and safety of treatment in MAWs. DESIGN The study had a qualitative design. Thematic analysis was used to analyze the data. SETTING The study was conducted in a county in south-eastern Norway and included five different MAWs. PATIENTS Semi-structured interviews were conducted with 27 participants who had required acute health care and who had been discharged from the five MAWs. RESULTS Three subthemes were identified that related to the overarching theme of hospital-like standards ("almost a hospital, but…"), namely (a) treatment and competence, (b) location and physical environment, and (c) adequate time for care. Participants reported the treatment to be comparable to hospital care, but they also experienced limitations. Participants spoke positively about MAW personnel and the advantages of having a single patient room, a calm environment, and proximity to home. CONCLUSIONS Participants felt safe when treated at MAWs, even though they realized that the diagnostic services were not similar to that in hospitals. Geographical proximity, treatment facilities and time for care positively distinguished MAWs from hospitals, while the lack of diagnostic resources was stressed as a limitation. Key points Municipality acute wards (MAWs) have been implemented across Norway. Research on patient perspectives on the decentralization of acute healthcare in MAWs is lacking. • Patients perceive decentralized acute healthcare and treatment as being comparable to the quality they would have expected in hospitals. • Geographical proximity, a home-like atmosphere and time for care were aspects stressed as positive features of the decentralized services. • Lack of diagnostic resources was seen as a limitation.
Collapse
Affiliation(s)
- Ann-Chatrin Linqvist Leonardsen
- Department of Research, Østfold Hospital Trust, Sarpsborg, Østfold, Norway
- Institute of Clinical Medicine, University of Oslo, Oslo, Norway
- CONTACT Ann-Chatrin Linqvist Leonardsen Department of Research, Østfold Hospital Trust, Sarpsborg, Østfold, Norway/Institute of Clinical Medicine, University of Oslo, Oslo, Norway
| | - Lilliana Del Busso
- Faculty of Health and Social Studies, Østfold University College, Sarpsborg, Østfold, Norway
| | | | - Waleed Ghanima
- Department of Research, Østfold Hospital Trust, Sarpsborg, Østfold, Norway
- Institute of Clinical Medicine, University of Oslo, Oslo, Norway
| | - Paul Barach
- Wayne University School of Medicine, Detriot, MI, USA
| | - Lars-Petter Jelsness-Jørgensen
- Department of Research, Østfold Hospital Trust, Sarpsborg, Østfold, Norway
- Faculty of Health and Social Studies, Østfold University College, Sarpsborg, Østfold, Norway
| |
Collapse
|
15
|
Brown RA, Crookes PA. What are the 'necessary' skills for a newly graduating RN? Results of an Australian survey. BMC Nurs 2016; 15:23. [PMID: 27051351 PMCID: PMC4820976 DOI: 10.1186/s12912-016-0144-8] [Citation(s) in RCA: 24] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/28/2014] [Accepted: 03/29/2016] [Indexed: 11/10/2022] Open
Abstract
BACKGROUND There appears to be a sense of disappointment with the product of contemporary nursing programs in Australia in that new graduate RNs are often referred to as not possessing appropriate skills by clinical colleagues. This work identifies the skills that the profession believes that newly graduating RN's should possess at the point of registration. METHODS A qualitative consensus methodology was used in the form of a modified Delphi survey. Expert panels were used to review and validate data. RESULTS Consensus was reached on the top 25 skills areas that can be reasonably expected of a new graduate Registered Nurse in Australia. The top ranked skills areas included efficient and effective communication, professional nursing behaviours, privacy and dignity and managing medication administration. CONCLUSIONS The consensus methodologies used to develop the skills areas indicated broad agreement across the profession in Australia. The complexity and context of practice was highlighted in the comments within the Delphi rounds. Interestingly no new skills were added and none removed from the initial list - some were prioritised over others but the majority agreed that all the skills areas were important for a newly graduating nurse.
Collapse
Affiliation(s)
- Roy A Brown
- School of Nursing, Faculty of Science, Medicine and Health, University of Wollongong, Room 115, Building 41, Northfields Avenue, Gwynneville, NSW 2500 Australia
| | - Patrick A Crookes
- Honorary Appointment: School of Nursing, Faculty of Science, Medicine and Health, University of Wollongong, Wollongong, NSW Australia
| |
Collapse
|
16
|
The views of patients, mentors and adult field nursing students on patients' participation in student nurse assessment in practice. Nurse Educ Pract 2016; 16:202-8. [DOI: 10.1016/j.nepr.2015.08.007] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/13/2014] [Revised: 06/22/2015] [Accepted: 08/07/2015] [Indexed: 11/21/2022]
|
17
|
Mohtashami J, Rahnama H, Farzinfard F, Talebi A, Atashzadeh-Shoorideh F, Ghalenoee M. A Survey of Correlation between Professional Identity and Clinical Competency of Psychiatric Nurses. ACTA ACUST UNITED AC 2015. [DOI: 10.4236/ojn.2015.59080] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022]
|
18
|
Glasper A. Revalidation proposals: a chance to have your say. BRITISH JOURNAL OF NURSING (MARK ALLEN PUBLISHING) 2014; 23:286-287. [PMID: 24642822 DOI: 10.12968/bjon.2014.23.5.286] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/03/2023]
Abstract
Professor Alan Glasper discusses proposals by the Nursing and Midwifery Council to implement robust systems for ensuring that nurses and midwives are appropriately revalidated to ensure public protection.
Collapse
|
19
|
Mollon D. Feeling safe during an inpatient hospitalization: a concept analysis. J Adv Nurs 2014; 70:1727-37. [PMID: 24383463 DOI: 10.1111/jan.12348] [Citation(s) in RCA: 45] [Impact Index Per Article: 4.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 12/07/2013] [Indexed: 11/28/2022]
Abstract
AIM This paper aims to explore the critical attributes of the concept feeling safe. BACKGROUND The safe delivery of care is a high priority; however; it is not really known what it means to the patient to 'feel safe' during an inpatient hospitalization. This analysis explores the topic of safety from the patient's perspective. DESIGN Concept analysis. DATA SOURCES The data bases of CINAHL, Medline, PsychInfo and Google Scholar for the years 1995-2012 were searched using the terms safe and feeling safe. METHODS The eight-step concept analysis method of Walker and Avant was used to analyse the concept of feeling safe. Uses and defining attributes, as well as identified antecedents, consequences and empirical referents, are presented. Case examples are provided to assist in the understanding of defining attributes. RESULTS Feeling safe is defined as an emotional state where perceptions of care contribute to a sense of security and freedom from harm. Four attributes were identified: trust, cared for, presence and knowledge. Relationship, environment and suffering are the antecedents of feeling safe, while control, hope and relaxed or calm are the consequences. Empirical referents and early development of a theory of feeling safe are explored. CONCLUSION This analysis begins the work of synthesizing qualitative research already completed around the concept of feeling safe by defining the key attributes of the concept. Support for the importance of developing patient-centred models of care and creating positive environments where patients receive high-quality care and feel safe is provided.
Collapse
Affiliation(s)
- Deene Mollon
- SharpHealth Care, La Mesa, California, USA; University of San Diego, California, USA
| |
Collapse
|
20
|
Calman L, Brunton L, Molassiotis A. Developing longitudinal qualitative designs: lessons learned and recommendations for health services research. BMC Med Res Methodol 2013; 13:14. [PMID: 23388075 PMCID: PMC3598728 DOI: 10.1186/1471-2288-13-14] [Citation(s) in RCA: 146] [Impact Index Per Article: 13.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/25/2012] [Accepted: 11/22/2012] [Indexed: 12/22/2022] Open
Abstract
Background Longitudinal qualitative methods are becoming increasingly used in the health service research, but the method and challenges particular to health care settings are not well described in the literature.We reflect on the strategies used in a longitudinal qualitative study to explore the experience of symptoms in cancer patients and their carers, following participants from diagnosis for twelve months; we highlight ethical, practical, theoretical and methodological issues that need to be considered and addressed from the outset of a longitudinal qualitative study. Results Key considerations in undertaking longitudinal qualitative projects in health research, include the use of theory, utilizing multiple methods of analysis and giving consideration to the practical and ethical issues at an early stage. These can include issues of time and timing; data collection processes; changing the topic guide over time; recruitment considerations; retention of staff; issues around confidentiality; effects of project on staff and patients, and analyzing data within and across time. Conclusions As longitudinal qualitative methods are becoming increasingly used in health services research, the methodological and practical challenges particular to health care settings need more robust approaches and conceptual improvement. We provide recommendations for the use of such designs. We have a particular focus on cancer patients, so this paper will have particular relevance for researchers interested in chronic and life limiting conditions.
Collapse
Affiliation(s)
- Lynn Calman
- University of Manchester, Jean McFarlane Building, Oxford Road, Manchester M13 9PL, UK
| | | | | |
Collapse
|
21
|
Andersson IS, Lindgren M. Perceptions of nursing care quality, in acute hospital settings measured by the Karen instruments. J Nurs Manag 2013; 21:87-93. [PMID: 23339498 DOI: 10.1111/jonm.12011] [Citation(s) in RCA: 9] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 08/02/2012] [Indexed: 11/27/2022]
Abstract
AIMS The objectives of this study were to measure the quality of nursing care from the perspectives of patients and personnel and to compare these perspectives. BACKGROUND The perception of quality in nursing care is affected by patient needs and it is common that patients and personnel disagree on the nature of the quality. Thus, it is important to measure the quality from both perspectives. METHOD A total of 95 patients and 120 personnel from surgical and medical wards at a hospital in Sweden participated. The Karen instruments were used for data collection. A scale index was used for comparison of the perspectives. RESULTS The patients and personnel were satisfied with the quality of care and there were no obvious differences in the total index. The different subscales indicated areas of lower care quality in need of improvement. CONCLUSION The quality of the care seemed to be satisfactory from the perspectives of both the patients and the personal. Further analysis from the subscale or a variable level is needed to define areas of lower care quality. IMPLICATIONS FOR NURSING MANAGEMENT Measurements have to be carried out continuously to guarantee care quality over time, as a result of organisational changes and financial cutbacks.
Collapse
Affiliation(s)
- Inger S Andersson
- Department of Medicine and Health, Division of Nursing Science, Faculty of Health Sciences, Linköpings Universitet, Linköping, Sweden.
| | | |
Collapse
|
22
|
Sun CC. An exploration of core competences of newly qualified nurses: a case study. ACTA ACUST UNITED AC 2012. [DOI: 10.1007/s11135-012-9801-5] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
|
23
|
Abstract
PURPOSE The purpose of this analysis was to explore the concept of nurse competence. DATA SOURCES Data sources include EBSCOhost, Gale PowerSearch, ProQuest, PubMed Medline, Google Scholar, and Online Journal of Issues in Nursing. DATA SYNTHESIS This paper utilizes Rodgers' evolutionary method to analyze the concept of nurse competence. CONCLUSION Antecedents to nurse competence include personal and external motivations. Attributes include integrating knowledge into practice, experience, critical thinking, proficient skills, caring, communication, environment, motivation, and professionalism. Consequences include confidence, safe practice, and holistic care. Implications for nursing responsibility regarding defining nurse competence and ensuring nurse competence need to be identified. More research is needed to determine the best evaluation methods for the different facets of nurse competence.
Collapse
Affiliation(s)
- Sarah A Smith
- University of Hawaii Manoa School of Nursing and Dental Hygiene, HI, USA.
| |
Collapse
|
24
|
Hamström N, Kankkunen P, Suominen T, Meretoja R. Short hospital stays and new demands for nurse competencies. Int J Nurs Pract 2012; 18:501-8. [DOI: 10.1111/j.1440-172x.2012.02055.x] [Citation(s) in RCA: 20] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
Affiliation(s)
- Niina Hamström
- Department of Obstetrics and Gynecology; Helsinki University Central Hospital; Helsinki; Finland
| | - Päivi Kankkunen
- Department of Nursing Science; University of Eastern Finland; Kuopio; Finland
| | - Tarja Suominen
- School of Health Sciences, Nursing Science; University of Tampere; Tampere; Finland
| | - Riitta Meretoja
- Corporate Headquarters; Hospital District of Helsinki and Uusimaa; Helsinki; Finland
| |
Collapse
|
25
|
Chesser-Smyth PA, Long T. Understanding the influences on self-confidence among first-year undergraduate nursing students in Ireland. J Adv Nurs 2012; 69:145-57. [DOI: 10.1111/j.1365-2648.2012.06001.x] [Citation(s) in RCA: 43] [Impact Index Per Article: 3.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/27/2022]
|
26
|
Haycock-Stuart E, Kean S. Does nursing leadership affect the quality of care in the community setting? J Nurs Manag 2011; 20:372-81. [PMID: 22519615 DOI: 10.1111/j.1365-2834.2011.01309.x] [Citation(s) in RCA: 19] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
Abstract
AIM To examine perceptions about how nursing leadership affects quality of care in the community setting. BACKGROUND Quality care is considered an essential component of nursing work and recent policy has emphasized the role of leadership in meeting the quality agenda. As shifting the balance of nursing care from the hospital to the community occurs in the UK, there is an imperative to confirm more effectively the quality of care that patients and families receive from nurses working in the community. METHODS A qualitative study involving community nurse leaders (n = 12) and community nurses (n = 27) in semi-structured individual interviews (n = 31) and three focus groups (n = 13). RESULTS Tensions exist between 'leading' for quality care and 'delivering' for quality care. Organisational decision making is challenged by limited measures of quality of care in the diverse roles of community nursing. CONCLUSIONS Frontline community nurses and nurse leaders need to articulate how they intend quality of nursing care to be appreciated and actively indicate ways to show this. IMPLICATIONS FOR NURSING MANAGEMENT Mechanisms to monitor patient safety, a key aspect of the policy agenda for quality care and other technical aspects of care are important for nurse leaders to develop with frontline community nurses.
Collapse
Affiliation(s)
- Elaine Haycock-Stuart
- School of Health in Social Science, The University of Edinburgh, The Medical School, Teviot Place, Edinburgh, Scotland, UK.
| | | |
Collapse
|
27
|
Kynoch K, Paxton J, Chang AM. ICU nurses' experiences and perspectives of caring for obstetric patients in intensive care: a qualitative study. J Clin Nurs 2010; 20:1768-75. [PMID: 20958805 DOI: 10.1111/j.1365-2702.2010.03517.x] [Citation(s) in RCA: 11] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
Abstract
AIMS AND OBJECTIVES The aim of this study was to gain an understanding of the experiences and perspectives of intensive care nurses caring for critically ill obstetric patients. BACKGROUND Current literature suggests critically ill obstetric patients need specialised, technically appropriate care to meet their specific needs with which many intensive care nurses are unfamiliar. Furthermore, there is little research and evidence to guide the care of this distinct patient group. DESIGN This study used a descriptive qualitative design. METHODS Two focus groups were used to collect data from 10 Australian intensive care units nurses in May 2007. Open-ended questions were used to guide the discussion. Latent content analysis was used to analyse the data set. Each interview lasted no longer than 60 minutes and was recorded using audio tape. The full interviews were transcribed prior to in-depth analysis to identify major themes. RESULTS The themes identified from the focus group interviews were competence with knowledge and skills for managing obstetric patients in the intensive care unit, confidence in caring for obstetric patients admitted to the intensive care unit and acceptance of an expanded scope of practice perceived to include fundamental midwifery knowledge and skills. CONCLUSION The expressed lack of confidence and competence in meeting the obstetric and support needs of critically ill obstetric women indicates a clear need for greater assistance and education of intensive care nurses. This in turn may encourage critical care nurses to accept an expanded role of clinical practice in caring for critically ill obstetric patients. RELEVANCE TO CLINICAL PRACTICE Recognition of the issues for nurses in successfully caring for obstetric patients admitted to an adult intensive care setting provides direction for designing education packages, ensuring specific carepaths and guidelines are in place and that support from a multidisciplinary team is available including midwifery staff.
Collapse
Affiliation(s)
- Kate Kynoch
- Authors: Kate Kynoch, BN, Grad Cert, MN, RN, Nurse Researcher, Mater Health Services; Jody Paxton, BN, Grad Cert, RN, Nurse Educator, Intensive Care Unit, Mater Adult Hospital; Anne M Chang, BN, PhD, FRCNA, RN, Professor of Clinical Nursing, Mater Health Services and Queensland University of Technology, Brisbane, Queensland, Australia
| | | | | |
Collapse
|
28
|
Kvåle K, Bondevik M. Patients' perceptions of the importance of nurses' knowledge about cancer and its treatment for quality nursing care. Oncol Nurs Forum 2010; 37:436-42. [PMID: 20591803 DOI: 10.1188/10.onf.436-442] [Citation(s) in RCA: 20] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Abstract
PURPOSE/OBJECTIVES To gain insight into how and why patients' perceptions of nurses' knowledge about cancer and its treatments relate to quality nursing care. DESIGN Qualitative study inspired by Giorgi's approach to phenomenology. SETTING An oncology ward in a regional hospital in Norway. SAMPLE 20 patients (10 women and 10 men). Most received life-prolonging and symptom-relieving treatment, whereas 4 had the possibility of being cured. METHODS In-depth interviews were tape recorded, transcribed, and analyzed. The text was read as a whole, condensed into units of meaning, and clustered into themes of importance. Finally, the consistency between identified themes and the general structure of the interviews was checked. FINDINGS Patients regarded knowledge about cancer and its treatment as basic in nursing and took for granted that nurses had this competency. Three themes were identified that explained why the knowledge was important: (a) it makes patients feel safe and secure and alleviates suffering by providing useful information, (b) it prevents and alleviates suffering and insecurity during chemotherapy, and (c) it alleviates suffering by relieving side effects caused by the treatment and symptoms caused by the disease. CONCLUSIONS Patients appreciated meeting nurses who had experience and could combine clinical and biologic knowledge and nursing skills with a human touch. In addition, nurses alleviated patients' bodily and existential suffering and made them feel safe and secure. IMPLICATIONS FOR NURSING Experienced, effective nurses with knowledge about cancer and its treatments are needed in oncology wards to provide optimal care to patients.
Collapse
Affiliation(s)
- Kirsti Kvåle
- Institute of Postgraduate Studies, Betanien Diaconal University College, Fyllingsdalen, Norway.
| | | |
Collapse
|
29
|
Jirwe M, Gerrish K, Keeney S, Emami A. Identifying the core components of cultural competence: findings from a Delphi study. J Clin Nurs 2009; 18:2622-34. [DOI: 10.1111/j.1365-2702.2008.02734.x] [Citation(s) in RCA: 54] [Impact Index Per Article: 3.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
|
30
|
|
31
|
Roberts D, Johnson M. Newly qualified nurses: competence or confidence? NURSE EDUCATION TODAY 2009; 29:467-468. [PMID: 19208444 DOI: 10.1016/j.nedt.2009.01.002] [Citation(s) in RCA: 19] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/27/2023]
|
32
|
Roberts D. Commentary on Secomb J (2008) A systematic review of peer teaching and learning in clinical education. Journal of Clinical Nursing17, 703-716. J Clin Nurs 2008; 17:2793-4; discussion 2794-5. [DOI: 10.1111/j.1365-2702.2008.02394.x] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/01/2022]
|
33
|
McCreaddie M, Wiggins S. The purpose and function of humour in health, health care and nursing: a narrative review. J Adv Nurs 2008; 61:584-95. [PMID: 18302600 DOI: 10.1111/j.1365-2648.2007.04548.x] [Citation(s) in RCA: 65] [Impact Index Per Article: 4.1] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/19/2022]
Abstract
AIM This paper is a report of a review conducted to identify, critically analyse and synthesize the humour literature across a number of fields related to health, health care and nursing. BACKGROUND The humour-health hypothesis suggests that there is a positive link between humour and health. Humour has been a focus of much contention and deliberation for centuries, with three theories dominating the field: the superiority or tendentious theory, the incongruity theory and the relief theory. DATA SOURCES A comprehensive literature search was carried out in January 2007 using a number of databases, keywords, manual recursive searching and journal alerts (January 1980-2007) cross-referenced with the bibliographic databases of the International Society of Humor Studies. An inclusion and exclusion criterion was identified. REVIEW METHODS A narrative review of evidence- and non-evidence-based papers was conducted, using a relevant methodological framework with additional scrutiny of secondary data sources in the latter. Humour theories, incorporating definition, process and impact constituted a significant part of the appraisal process. RESULTS A total of 1630 papers were identified, with 220 fully sourced and 88 included in the final review. There is a dearth of humour research within nursing yet, ironically, an abundance of non-evidence-based opinion citing prerequisites and exclusion zones. Examination of physician-patient interaction and the humour-health hypothesis demonstrates that use of humour by patients is both challenging and revealing, particularly with regard to self-deprecating humour. CONCLUSION Nurses and nursing should adopt a circumspect and evidenced-based approach to humour use in their work.
Collapse
|