1
|
Harlow AB, Ledbetter L, Brandon DH. Parental presence, participation, and engagement in paediatric hospital care: A conceptual delineation. J Adv Nurs 2024; 80:2758-2771. [PMID: 38037504 DOI: 10.1111/jan.15996] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/03/2023] [Revised: 11/10/2023] [Accepted: 11/19/2023] [Indexed: 12/02/2023]
Abstract
AIM To delineate between the concepts of parental presence, participation, and engagement in paediatric hospital care. DESIGN The concepts' uses in the literature were analysed to determine attributes, influences, and relationships. METHODS Delineations of each concept are established and conceptual definitions are proposed following Morses' methods. DATA SOURCES MEDLINE (PubMed); CINAHL, PsycINFO, Sociology Source Ultimate (EBSCOhost); Embase, Scopus (Elsevier); Google Scholar. Search dates October 2021, February 2023. RESULTS Multinational publications dated 1991-2023 revealed these concepts represent a range of parental behaviours, beliefs, and actions, which are not always perceptible to nurses, but which are important in family-integrated care delivery. Parental presence is the state of a parent being physically and/or emotionally with their child. Parental participation reflects parents' performing caregiving activities with or without nurses. Parental engagement is a parents' state of emotional involvement in their child's health and the ways they act on their child's behalf. CONCLUSION These concepts' manifestations are important to parental role attainment but may be inadequately understood and considered by healthcare providers. IMPLICATIONS Nurses have influence over parents' parental presence, participation, and engagement in their child's care but need support from healthcare institutions to ensure equitable family-integrated care delivery. IMPACT Problem: Lack of clear definition among these concepts results in incomplete and at times inequitable family-integrated care delivery. FINDINGS Parental presence is an antecedent to parental participation, and parental presence and participation are elements of parental engagement. The concepts interact to influence one another. IMPACT Hospitalized children, their families, nurses, and researchers will benefit through a better understanding of the concepts' attributes, interactions, and implications for enhanced family-integrated care delivery.
Collapse
Affiliation(s)
| | - Leila Ledbetter
- Duke University Medical Center Library and Archives, Durham, North Carolina, USA
| | - Debra H Brandon
- Duke University School of Nursing, Durham, North Carolina, USA
| |
Collapse
|
2
|
Akduran F, Karaca A, Eroglu SA. Effects of the supportive care needs of patients with cancer on their comfort levels. Int J Palliat Nurs 2024; 30:295-306. [PMID: 38913641 DOI: 10.12968/ijpn.2024.30.6.295] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/26/2024]
Abstract
BACKGROUND Providing supportive care to patients with cancer and improving their comfort levels can promote their adjustment to the disease, compliance with treatment and improve their quality of life. AIM The aim of this cross-sectional, descriptive study was to identify the effects of the supportive care needs of cancer patients on their comfort levels. METHODS The study was performed in the oncology department of a university hospital. A total of 153 cancer patients undergoing chemotherapy constituted the sample. The data collection procedure included the Supportive Care Needs Survey (SCNS) and the General Comfort Questionnaire (GCQ). RESULTS The SCNS scores of the patients were low (Mean±SD: 75.13±27.93). The socio-cultural dimension of the GCQ was the most adversely influenced area of comfort. There was a negative relationship between needs and comfort levels (rs=-0.69, p<0.01). Lower scores of comfort were associated with higher scores of SCNS (ß=-0.487; ß=-0.316; ß=-0.958, respectively). CONCLUSIONS Cancer patients undergoing chemotherapy were supported in meeting their physical and psychological needs and performing their activities of daily living and care during their hospital stay. Patients with higher support needs had lower comfort levels.
Collapse
Affiliation(s)
- Funda Akduran
- Assistant Professor, Sakarya University Faculty of Health Sciences Nursing Department, Turkey
| | - Anita Karaca
- Assistant Professor, Biruni University Faculty of Health Sciences Nursing Department, Turkey
| | - Semiha Akin Eroglu
- Professor, University of Health Sciences, Hamidiye Faculty of Nursing, Turkey
| |
Collapse
|
3
|
Oldham C, Guffey K, Link K, Sampson S, McQueen T, Stanton A. Measuring Gatekeeper Instructor Comfort to Inform Suicide Prevention Train-The-Trainer Recruitment & Training in Agricultural Communities. J Agromedicine 2023; 28:689-702. [PMID: 37222378 DOI: 10.1080/1059924x.2023.2215249] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 05/25/2023]
Abstract
Farmers experience psychological distress and suicide at consistently higher rates than workers in other industries. A gatekeeper is an individual who has been trained to recognize warning symptoms of possible suicidal ideations in others. Gatekeeper programs are recognized by the federal Substance Abuse and Mental Health Services Administration as a best practice for suicide prevention. While gatekeeper programs offer promise to addressing the increasing worldwide suicide rate, how to develop these networks in communities with largely ingrained stigma and taboo related to mental health and suicide remains unanswered. Three of this study's researchers were part of the development and pilot of an agricultural community gatekeeper program and questioned how gatekeeper instructor psychological comfort could be conceptualized and operationalized for the purpose of informing gatekeeper instructor recruitment and training. After a thorough review of the literature, the researchers constructed a conceptual developmental model of gatekeeper instructor comfort and created a Gatekeeper Instructor Comfort Measure instrument which was then piloted with Kentucky K-12 and university agricultural educators. The researchers of this study employed the Rasch model to determine whether the developmental model of gatekeeper instructor comfort held together empirically. Infit and outfit mean squares (0.73 to 1.33) indicate that the items measure one construct, or are unidimensional, while person reliability and separation statistics indicate that the Gatekeeper Instructor Comfort Measure is composed of enough items to differentiate respondents into almost four strata of gatekeeper comfort. The Gatekeeper Instructor Comfort Measure's fit to the Rasch model indicates that the instrument meets the requirements of invariant measurement and should serve as a useful measure for other researchers. The instrument's item difficulty hierarchy also serves as a guide for those training gatekeepers on how to target different gatekeeper outcomes sequentially or developmentally. Researchers recommend restructuring item responses to enable greater discrimination between categories and then piloting the instrument again with a more diverse sample. The revised measure could be used pre- and post-gatekeeper instructor training to determine the impact of training on gatekeeper comfort.
Collapse
Affiliation(s)
- Carolyn Oldham
- College of Agriculture, Food and Environment, University of Kentucky, Lexington, KY, USA
| | - Kristie Guffey
- Hutson School of Agriculture, Murray State University, Murray, KY, USA
| | - Kim Link
- School of Nursing and Allied Health, Western Kentucky University, Bowling Green, KY, USA
| | - Shannon Sampson
- College of Education, University of Kentucky, Lexington, KY, USA
| | - Tyler McQueen
- Department of Psychology, Eastern Kentucky University, Richmond, KY, USA
| | - Anna Stanton
- Department of Psychology, Eastern Kentucky University, Richmond, KY, USA
| |
Collapse
|
4
|
Lin Y, Zhou Y, Chen C. Interventions and practices using Comfort Theory of Kolcaba to promote adults' comfort: an evidence and gap map protocol of international effectiveness studies. Syst Rev 2023; 12:33. [PMID: 36879339 PMCID: PMC9987143 DOI: 10.1186/s13643-023-02202-8] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/26/2022] [Accepted: 02/24/2023] [Indexed: 03/08/2023] Open
Abstract
BACKGROUND Comfort is a primary patient objective and central to patient experience, and thus, maximising comfort is a universal goal for healthcare. However, comfort is a complex concept that is difficult to operationalise and evaluate, resulting in a lack of scientific and standardised comfort care practices. The Comfort Theory developed by Kolcaba has been the most widely known for its systematisation and projection and most of the global publications regarding comfort care were based on this theory. To develop international guidance on theory-informed comfort care, a better understanding about the evidence on the effects of interventions guided by the Comfort Theory is needed. OBJECTIVES To map and present the available evidence on the effects of interventions underpinned by Kolcaba's Comfort theory in healthcare settings. METHODS The mapping review will follow Campbell Evidence and Gap Maps guideline and Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for Scoping Reviews Protocols guidelines. An intervention-outcome framework has been developed based on Comfort Theory and the classification of pharmacological and non-pharmacological interventions via consultation with stakeholders. Eleven electronic databases (MEDLINE, CINAHL, PsycINFO, Embase, AMED, Cochrane Library, JBI Library of Systematic Reviews, Web of Science, Scopus, CNKI and Wan Fang) and grey literature sources (Google Scholar, Baidu Scholar and The Comfort Line) will be searched for primary studies and systematic reviews between 1991 and 2023 written in English and Chinese as the papers regarding Comfort Theory were first published in 1991. Additional studies will be identified by reference list review of included studies. Key authors will be contacted for unpublished or ongoing studies. Two independent reviewers will screen and extract data using piloted forms with discrepancies resolved by discussion with a third reviewer. A matrix map with filters of study characteristics will be generated and presented through software of EPPI-Mapper and NVivo. DISCUSSION More informed use of theory can strengthen improvement programmes and facilitate the evaluation of their effectiveness. Findings from the evidence and gap map will present the existing evidence base for researchers, practitioners and policy-makers and inform further research as well as clinical practices aiming at patients' comfort enhancement.
Collapse
Affiliation(s)
- Yanxia Lin
- School of Nursing, Shanghai University of Traditional Chinese Medicine, NO. 1200, Cailun Road, Pudong District, Shanghai, 201203, China.
| | - Yi Zhou
- School of Nursing, Langfang Health Vocational College, Siguang Road, Guangyang District, Langfang, Hebei, 065000, China.
| | - Can Chen
- School of Nursing, Hebei University of Chinese Medicine, NO. 3, Xingyuan Road, Luquan District, Shijiazhuang, Hebei, 050200, China
| |
Collapse
|
5
|
Hallyburton A. Diagnostic overshadowing: An evolutionary concept analysis on the misattribution of physical symptoms to pre-existing psychological illnesses. Int J Ment Health Nurs 2022; 31:1360-1372. [PMID: 35718951 PMCID: PMC9796883 DOI: 10.1111/inm.13034] [Citation(s) in RCA: 11] [Impact Index Per Article: 5.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Accepted: 06/01/2022] [Indexed: 01/07/2023]
Abstract
This evolutionary concept analysis explores the meaning of diagnostic overshadowing within the context of physical health care for individuals with mental illness. Diagnostic overshadowing, the misattribution of symptoms of one illness to an already diagnosed comorbidity, leads to compromised patient care and likely contributes to increased mortality experienced by individuals with mental illness. A systematic literature search led to identification of a sample of 25 publications on the topic. Following Rodgers' Evolutionary Concept Analysis methodology, this literature sample yielded unifying definitions, shared themes, factors contributing to the action of diagnostic overshadowing, outcomes caused by this type of misdiagnosis, and possible interventions available to nurses and other healthcare providers. Understanding of the concept diagnostic overshadowing may help prevent its occurrence and its adverse results.
Collapse
Affiliation(s)
- Ann Hallyburton
- Hunter Library, Western Carolina University, Cullowhee, North Carolina, USA
| |
Collapse
|
6
|
Tavares AP, Martins H, Pinto S, Caldeira S, Pontífice Sousa P, Rodgers B. Spiritual comfort, spiritual support, and spiritual care: A simultaneous concept analysis. Nurs Forum 2022; 57:1559-1566. [PMID: 36448491 PMCID: PMC10099816 DOI: 10.1111/nuf.12845] [Citation(s) in RCA: 5] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/17/2022] [Accepted: 11/01/2022] [Indexed: 12/05/2022]
Abstract
BACKGROUND Spirituality is a dimension of life and the human being that should be included in holistic healthcare. One major barrier often described by nurses on implementing spirituality in practice relates to perceiving the concept of spirituality as subjective and sharing confounding similarities with other concepts. In this sense, the concepts of spiritual comfort, spiritual care, and spiritual support may require more distinct theoretical definitions aimed at clear and effective nursing interventions within spiritual care. AIM To provide a definition of spiritual comfort, spiritual support, and spiritual care. METHODS Simultaneous concept analysis (SCA) of three concepts according to Haase et al., which is grounded on Rodgers' evolutionary view. The method was based on a literature review with the search of electronic databases on May 2020. Search and analysis have been blinded conducted by two reviewers. RESULTS One hundred thirty-six studies were included in the SCA. Findings suggest that spiritual comfort is an immediate state and an outcome. Spiritual support is related with an intimate and positive relationship with God. Spiritual care is defined as a complex and interactive process. Both spiritual support and spiritual care are grounded in a therapeutic context. CONCLUSION This SCA allowed the attributes of each concept to be identified and provides definitions that may facilitate the understanding of these concepts and promote the implementation of spirituality in nursing practice, but which has also led to future research on this topic.
Collapse
Affiliation(s)
- Ana Patrícia Tavares
- Universidade Católica Portuguesa, Institute of Health Sciences Palma de Cima Lisbon Portugal
| | - Helga Martins
- Universidade Católica Portuguesa, Institute of Health Sciences, Centre for Interdisciplinary Research in Health Palma de Cima Lisbon Portugal
- Instituto Politécnico de Beja Beja Portugal
| | - Sara Pinto
- CINTESIS@RISE, Nursing School of Porto (ESEP) Porto Portugal
| | - Sílvia Caldeira
- Universidade Católica Portuguesa, Institute of Health Sciences, Centre for Interdisciplinary Research in Health Palma de Cima Lisbon Portugal
| | - Patrícia Pontífice Sousa
- Universidade Católica Portuguesa, Institute of Health Sciences, Centre for Interdisciplinary Research in Health Palma de Cima Lisbon Portugal
| | - Beth Rodgers
- Chair Adult Health and Nursing Systems Department, School of Nursing Virginia Commonwealth University Richmond Virginia USA
| |
Collapse
|
7
|
Ho MH, Chu FH, Lin YF, Montayre J, Chuang YH, Liu MF, Chang CC. Factors associated with comfort as perceived by older people living in long-term care facilities. Collegian 2022. [DOI: 10.1016/j.colegn.2021.03.002] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/03/2022]
|
8
|
Saritaş S, Özdemir A. The Effect of Immunosuppressant Therapy Adherence on the Comfort of Liver Transplant Recipients. Gastroenterol Nurs 2021; 44:334-340. [PMID: 34319937 DOI: 10.1097/sga.0000000000000571] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/21/2020] [Accepted: 09/14/2020] [Indexed: 11/26/2022] Open
Abstract
Inadequate immunosuppressive therapy causes rejection, whereas an overdose may lead to infections or malignancy to affect a patient's life and comfort. This study used a descriptive correlational design to determine how compliance with immunosuppressive therapy affected the well-being of liver transplant patients. The study was conducted in the liver transplant unit of a university hospital with 103 patients who underwent liver transplant surgery. The target population included patients who received treatment in liver transplant clinics between July 2016 and August 2017. Mean age of the patients in the study was 44.66 ± 14.86 years and the time after transplant was 15.48 ± 16.90 months on the average. A significant difference was found between mean General Comfort Scale scores according to the variable of adherence status (t = 6.898, p < .05). Simple linear regression analysis showed a positive moderate, significant correlation between the adherence variable and mean General Comfort Scale scores (R = 0.543, p < .001). It was found that the patients who adhered to immunosuppressive therapy experienced higher levels of comfort. Therefore, arrangements to improve patient adherence to therapy, hence comfort, are recommended, as well as periodic evaluations of patient comfort levels.
Collapse
Affiliation(s)
- Serdar Saritaş
- Serdar Saritaş, PhD, is Associate Professor, Department of Surgical Nursing, Faculty of Nursing, Inonu University, Malatya, Turkey
- Ahmet Özdemir, PhD, is Assistant Professor, Department of Nursing, Faculty of Health Sciences, Kahramanmaras Sutcu Imam University, Kahramanmaraş, Turkey
| | - Ahmet Özdemir
- Serdar Saritaş, PhD, is Associate Professor, Department of Surgical Nursing, Faculty of Nursing, Inonu University, Malatya, Turkey
- Ahmet Özdemir, PhD, is Assistant Professor, Department of Nursing, Faculty of Health Sciences, Kahramanmaras Sutcu Imam University, Kahramanmaraş, Turkey
| |
Collapse
|
9
|
Duque M, Annemans M, Pink S, Spong L. Everyday comforting practices in psychiatric hospital environments: A design anthropology approach. J Psychiatr Ment Health Nurs 2021; 28:644-655. [PMID: 33185312 DOI: 10.1111/jpm.12711] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/24/2020] [Revised: 09/15/2020] [Accepted: 11/05/2020] [Indexed: 11/29/2022]
Abstract
WHAT IS KNOWN ON THE SUBJECT Comfort as a conceptual and lived experience is essential in psychiatric hospital contexts and for overall mental health wellbeing. Comfort is a valuable aspect when designing hospitals and built environments for psychiatric care. WHAT THE PAPER ADDS TO EXISTING KNOWLEDGE This article presents the results from a Design Anthropology study at four Psychiatric Units co-located in a newly built regional hospital based on 126 ethnographic interviews with staff, within which 63 participants mentioned the importance of comfort in generating environments conducive to wellbeing. An in-depth qualitative understanding of comforting practices, as emergent forms of everyday care. These may receive less attention within more established interventions from organisational models of care (e.g., Safewards) and might appear to be implicit gestures of courtesy. However, they contribute to meaningful encounters and contribute to individual and organisational wellbeing in psychiatric care. WHAT ARE THE IMPLICATIONS FOR PRACTICE This paper builds on comfort theories and demonstrates implications for practice through ethnographic examples. Comfort, often unnoticed until it is absent, needs to be maintained through continuous "small" but intentional acts of care. These constitute a finely tuned repertoire of everyday comforting practices of care at psychiatric contexts. Corridors and doors are presented as spaces where people have brief interactions that can contribute to everyday comforting experiences. Comfort is discussed in dialogue with existing literatures from psychiatric nursing, healthcare building design and design anthropology. Implicit and improvised practices of care that foster comforting environments have vital potential to support institutionally endorsed models of care (e.g., Safewards). The article proposes that design has a dual role for comforting environments in psychiatric care; (a) through the practice of architectural design and (b) through the practices of staff when creating everyday comforting interactions for wellbeing. ABSTRACT INTRODUCTION: Creating a comforting environment is essential for delivering psychiatric care. While healthcare organisations explicitly implement care models and adapt the physical environment, attention to staff's implicit everyday practice is limited. AIM Developing a design anthropology approach tailored specifically to the research site, we examine the social and physical environment to unpack how staff integrate both-implicit comforting interventions, and the explicit measures taken by the organisation-into their everyday practices of psychiatric care. METHOD Design and sensory ethnography, using extended observations and "walking tours" were undertaken with 126 staff members. A thematic analysis was conducted on all visual and audio material. RESULTS Staff's everyday implicit care practices and situated design decisions provide a comforting environment for patients, visitors and staff. DISCUSSION Implicit practices combine with an explicit organisational model of care to achieve a comforting environment. The value of design anthropology to uncover these dynamics is emphasized. Comforting practice involving implicit gestures of courtesy, which are infrequently addressed within organisational models of care (e.g., Safewards), are foregrounded. IMPLICATIONS FOR PRACTICE Explicit models of care have clear value in generating comfort; however, psychiatric hospital care also benefits from less visible modes of delivering comfort through everyday practices. By acknowledging both explicit and implicit modes of comfort, we can better understand how care models and psychiatric cultures of care are nurtured. Continuous "small" but intentional acts of care (e.g., brief interactions in corridors and at doors) constitute a finely tuned repertoire of everyday comforting practices.
Collapse
Affiliation(s)
- Melisa Duque
- MADA, Monash University, Melbourne, Vic., Australia
| | - Margo Annemans
- Department of Architecture, Research[x]Design, KU Leuven, Leuven, Belgium
| | - Sarah Pink
- Monash University, Melbourne, Vic., Australia
| | - Lisa Spong
- Bendigo Health, Bendigo, Vic., Australia
| |
Collapse
|
10
|
Wensley C, Botti M, McKillop A, Merry AF. Maximising comfort: how do patients describe the care that matters? A two-stage qualitative descriptive study to develop a quality improvement framework for comfort-related care in inpatient settings. BMJ Open 2020; 10:e033336. [PMID: 32430447 PMCID: PMC7239554 DOI: 10.1136/bmjopen-2019-033336] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/31/2019] [Revised: 02/17/2020] [Accepted: 02/24/2020] [Indexed: 11/17/2022] Open
Abstract
OBJECTIVE To develop a multidimensional framework representing patients' perspectives on comfort to guide practice and quality initiatives aimed at improving patients' experiences of care. DESIGN Two-stage qualitative descriptive study design. Findings from a previously published synthesis of 62 studies (stage 1) informed data collection and analysis of 25 semistructured interviews (stage 2) exploring patients' perspectives of comfort in an acute care setting. SETTING Cardiac surgical unit in New Zealand. PARTICIPANTS Culturally diverse patients in hospital undergoing heart surgery. MAIN OUTCOMES A definition of comfort. The Comfort ALways Matters (CALM) framework describing factors influencing comfort. RESULTS Comfort is transient and multidimensional and, as defined by patients, incorporates more than the absence of pain. Factors influencing comfort were synthesised into 10 themes within four inter-related layers: patients' personal (often private) strategies; the unique role of family; staff actions and behaviours; and factors within the clinical environment. CONCLUSIONS These findings provide new insights into what comfort means to patients, the care required to promote their comfort and the reasons for which doing so is important. We have developed a definition of comfort and the CALM framework, which can be used by healthcare leaders and clinicians to guide practice and quality initiatives aimed at maximising comfort and minimising distress. These findings appear applicable to a range of inpatient populations. A focus on comfort by individuals is crucial, but leadership will be essential for driving the changes needed to reduce unwarranted variability in care that affects comfort.
Collapse
Affiliation(s)
- Cynthia Wensley
- School of Nursing, Faculty of Medical and Health Sciences, The University of Auckland, Auckland, New Zealand
| | - Mari Botti
- Centre for Quality and Patient Safety Research - Epworth HealthCare Partnership, School of Nursing and Midwifery, Deakin University, Burwood, Victoria, Australia
| | - Ann McKillop
- School of Nursing, Faculty of Medical and Health Sciences, The University of Auckland, Auckland, New Zealand
| | - Alan F Merry
- Faculty of Medical & Health Sciences, The University of Auckland, Auckland, New Zealand
- Auckland City Hospital, Auckland, New Zealand
| |
Collapse
|
11
|
Fowler SB, Watterson K, Hauck MJ, Melville S, Surat L. Blood Samples from Established Peripheral Intravenous Catheters. J Pediatr Nurs 2020; 52:101-102. [PMID: 32216999 DOI: 10.1016/j.pedn.2020.02.035] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
Affiliation(s)
| | - Kristina Watterson
- Arnold Palmer Hospital for Children, Orthopedics/Neurology Pediatrics, Orlando, FL, United States of America
| | - Maggie Jo Hauck
- Arnold Palmer Hospital for Children, Orthopedics/Neurology Pediatrics, Orlando, FL, United States of America
| | - Shannon Melville
- Arnold Palmer Hospital for Children, Orthopedics/Neurology Pediatrics, Orlando, FL, United States of America
| | - Laura Surat
- Arnold Palmer Hospital for Children, Orthopedics/Neurology Pediatrics, Orlando, FL, United States of America
| |
Collapse
|
12
|
Pereira CSCN, Mercês CAMF, Lopes ROP, Souza JFD, Souto JDSS, Brandão MAG. Análise do conceito de conforto: contribuições para o diagnóstico de Disposição para Conforto melhorado. ESCOLA ANNA NERY 2020. [DOI: 10.1590/2177-9465-ean-2019-0205] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022] Open
Abstract
RESUMO Objetivos Analisar o conceito de conforto à luz do modelo de análise conceitual evolucionista de Rodgers e incorporar elementos da análise conceitual na estrutura do diagnóstico de enfermagem “Disposição para conforto melhorado” (00183). Métodos Estudo de análise de conceito com aplicação das sete etapas do modelo evolucionário de Rodgers, sendo orientado para a condução da fase 1 de validação do diagnóstico de enfermagem. O material para análise foi obtido com a estratégia de revisão integrativa da literatura. Resultados e discussão Apresenta-se perspectiva histórico-desenvolvimental do conceito de quatro períodos temporais. Evidencia atributos, antecedentes, consequentes, termos substitutos e definições conceituais obtidos da decomposição conceitual, utilizando-os para a atualização dos componentes da “Disposição para conforto melhorado” (00183). Conclusão e implicações para a prática A abordagem evolucionária de análise do conceito mostrou ser apropriada para clarificar o conceito de conforto, dela emergindo tanto uma perspectiva orientada para o bem-estar quanto para as alterações do desconforto. A análise do conceito de conforto no método evolucionário contribuiu para a atualização do diagnóstico de enfermagem em tela. Os resultados obtidos fornecem elementos para a realização de futuros estudos de validação diagnóstica por experts e de validação clínica o que impacta positivamente no uso da linguagem diagnóstica.
Collapse
|
13
|
Pinto S, Almeida F, Caldeira S, Martins JC. The Comfort app prototype: introducing a web-based application for monitoring comfort in palliative care. Int J Palliat Nurs 2019; 23:420-431. [PMID: 28933997 DOI: 10.12968/ijpn.2017.23.9.420] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/23/2022]
Abstract
AIM To introduce a web-based application for monitoring comfort in patients receiving palliative care. METHODS Multi-phase electronic application development process that concluded with a pilot design to assess the feasibility and acceptability of the developed app (n=7 patients). RESULTS The app is compatible with Android, iOS and Windows. The results from phases I and II provided the knowledge about monitoring comfort. In phase III, five experts analysed the content of the app. The assessment of comfort comprises 11 self-reported items (pain, tiredness, drowsiness, nausea, lack of appetite, shortness of breath, depression, anxiety, fear of the future, peace and the will to live). In phase IV, a total of 117 messages were retrieved. Participants considered the app simple, easy to use and useful. CONCLUSIONS This prototype is feasible and user-friendly. Further research is needed to continue the app development, particularly in terms of data protection.
Collapse
Affiliation(s)
- Sara Pinto
- Adjunct Professor Escola Superior de Saúde de Santa Maria, Oporto, Portugal Travessa Antero Quental nº 173/175 4049-024 Porto
| | - Filipe Almeida
- IBM Certified Specialist Chief Executive Office INFOi9 - Information Systems Lda, Vila Nova de Gaia, Portugal
| | - Sílvia Caldeira
- Assistant Professor and Researcher Universidade Católica Portuguesa - Instituto de Ciências da Saúde - Lisbon, Portugal
| | | |
Collapse
|
14
|
Xiong Y, Xing H, Hu L, Xie J, Liu Y, Hu D. Effects of comfort care on symptoms, gastric motility, and mental state of patients with functional dyspepsia. Medicine (Baltimore) 2019; 98:e16110. [PMID: 31232957 PMCID: PMC6636950 DOI: 10.1097/md.0000000000016110] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 12/19/2022] Open
Abstract
Functional dyspepsia (FD) is a common upper gastrointestinal disorder globally, but the current treatments for FD are still unsatisfactory. This study was aimed at investigating the effects of comfort care on symptoms, gastric motility, and mental state of patients with FD.One hundred consecutive patients with FD treated at the Wuhan Union Hospital (Wuhan, China) between 03/2016 and 02/2018 were randomized to routine nursing and comfort care on the basis of routine nursing (50 patients/group), all for 8 weeks. The primary endpoint was FD symptom score. The secondary endpoint included gastric emptying rate, gastric motility parameters, and depression and anxiety scores. The endpoints were assessed at baseline and after 8 weeks.There were no significant differences between the 2 groups for gender, age, body mass index, types of FD, and course of disease (P > .05). The symptom score in the comfort care group at week 8 was lower than in the routine nursing group (8.3 ± 2.4 vs 10.2 ± 2.4, P < .001). The gastric emptying rate in the comfort care group at week 8 was higher than in the routine nursing group (28.6 ± 5.1 vs 24.3 ± 5.5, P < .001). The fasting and postprandial dominant frequencies of electrogastrogram in the comfort care group at week 8 were higher than in the routine nursing group (1.9 ± 0.9 vs 1.8 ± 1.0, P = .004; 3.1 ± 1.0 vs 2.1 ± 0.9, P < .001). The postprandial dominant power of electrogastrogram in the comfort care group at week 8 was higher than in the routine nursing group (55.7 ± 11.5 vs 42.3 ± 12.5, P < .001). The cases of abnormal electrogastrogram rhythm in the comfort care group at week 8 were significantly less than in the routine nursing group (P = .003). The self-rating depression scale and self-rating anxiety scale in the comfort care group at week 8 were significantly lower than in the routine nursing group (42.5 ± 6.9 vs 47.3 ± 6.4, P = .001; 41.1 ± 7.2 vs 46.3 ± 6.9, P < .001).Comfort care reduces the symptoms of patients with FD, increases gastric emptying rate, improves gastric motility, relieves patient's depression and anxiety, and promotes the rehabilitation of the disease.
Collapse
Affiliation(s)
| | - Hui Xing
- Department of Laboratory Medicine
| | | | | | | | - Deying Hu
- Department of Nursing, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China
| |
Collapse
|