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Ågård AS, Rasmussen GS, Mainz H, Gregersen M, Vedelø TW. Frontline nurses' experiences of managing visitor restrictions during the COVID-19 pandemic in a Danish university hospital - Lessons learned. Scand J Caring Sci 2024; 38:536-545. [PMID: 38189138 DOI: 10.1111/scs.13232] [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: 05/07/2023] [Revised: 12/14/2023] [Accepted: 12/22/2023] [Indexed: 01/09/2024]
Abstract
BACKGROUND Worldwide visitor restrictions forced nurses to separate patients from their relatives. However, the experience of implementing shifting restrictions from the frontline nurses' perspectives in a Danish context has yet to be assessed. AIM The aim of this descriptive qualitative study was to explore frontline nurses' experiences of managing shifting visitor restrictions in a Danish somatic university hospital during the COVID-19 pandemic. METHODS An online questionnaire, including open-ended questions, was developed. Data were analysed using descriptive statistics and content analysis. FINDINGS 116 nurses from 29 departments participated; they were informed about restrictions primarily by their charge nurses and hospital intranet. Shifting visitor restrictions compelled the nurses to constantly adjust and negotiate their practices. When deciding to suggest deviating from the restrictions, they shared their decision-making with colleagues. Visitor restrictions left the hospital environment quieter, but they also created a lack of overview and predictability, an emotional burden, and a negative impact on the quality of care. CONCLUSION Restricting relatives' access challenged the nurses' professional values, and it seems to have affirmed their appreciation of relatives' role as important partners in contemporary hospital-based health care.
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Affiliation(s)
- Anne Sophie Ågård
- Department of Intensive Care, Aarhus University Hospital, Aarhus N, Denmark
- Department of Public Health, Research Unit for Nursing and Healthcare, Aarhus University, Aarhus N, Denmark
- ResCenPI - Research Centre for Patient Involvement, Aarhus University & Central Denmark Region, Aarhus N, Denmark
| | - Gitte Susanne Rasmussen
- ResCenPI - Research Centre for Patient Involvement, Aarhus University & Central Denmark Region, Aarhus N, Denmark
- Department of Dermatology and Venerology, Aarhus University Hospital, Aarhus N, Denmark
| | - Hanne Mainz
- Department of Orthopedic Surgery, Aarhus University Hospital, Aarhus N, Denmark
- Research Centre of Emergency Medicine, Institute of Clinical Medicine, Aarhus University, Aarhus N, Denmark
- The Clinical Nursing Research Unit, Aalborg University Hospital, Aalborg, Denmark
| | - Merete Gregersen
- Department of Geriatrics, Aarhus University Hospital, Aarhus N, Denmark
| | - Tina Wang Vedelø
- Department of Public Health, Research Unit for Nursing and Healthcare, Aarhus University, Aarhus N, Denmark
- ResCenPI - Research Centre for Patient Involvement, Aarhus University & Central Denmark Region, Aarhus N, Denmark
- Department of Neurosurgery, Aarhus University Hospital, Aarhus N, Denmark
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Sharma B, Mani V, Zined R, Joshi P, Srivastava SP, Alhawat S, Pandey S. Attitude of Indian nurses towards importance of families in nursing care: A cross-sectional study. J Clin Nurs 2024; 33:1798-1808. [PMID: 38031355 DOI: 10.1111/jocn.16942] [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: 04/07/2023] [Revised: 10/31/2023] [Accepted: 11/13/2023] [Indexed: 12/01/2023]
Abstract
AIMS AND OBJECTIVE To evaluate the attitudes of Indian nurses towards the importance of family involvement in nursing care and the association between nurse attitudes and sociodemographic characteristics. BACKGROUND Involving the family in the care process is crucial for delivering family- and patient-centred care and ensuring the best possible patient outcomes. Nevertheless, published literature revealed that the nurses may lack clarity regarding the role of family members in the patient's care, which in turn hinders families' participation in care. DESIGN Cross-sectional descriptive study. The STROBE checklist was used to report the present study. METHODS A total of 203 Nurses participated in a prospective cross-sectional study between May 2022 and August 2022. They were recruited through convenience sampling from two tertiary care centres in India. A two-part questionnaire was used to gather the data; the first section contained questions for gathering sociodemographic information, and the second part contained the standardized FINC-NA scale. RESULTS The mean age of the nurses was (28.08 ± 4.722) years, and their median professional experience was 2.5 (1-5.5) years. Nurses' attitude regarding family's importance in patient care was found to be significantly associated (p ≤ .05) with education level, marital status, religion and hometown region. CONCLUSION In several items Indian nurses have positive attitudes towards family involvement in care but some of the lower scoring items can present opportunities for focused improvement. Continuing development programmes about family-centered care can constitute important strategies to improve the positive attitudes of nurses towards families in practice. PATIENT AND PUBLIC CONTRIBUTION No patient or public contribution.
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Affiliation(s)
- Bhavna Sharma
- Baba Farid University of Health Sciences, Faridkot, Punjab, India
| | | | - Rubi Zined
- Department of Genetics, AIIMS, New Delhi, India
| | - Poonam Joshi
- College of Nursing, AIIMS, Kalyani, West Bengal, India
| | - Saumya P Srivastava
- Dr. Ram Manohar Lohia Institute of Medical Sciences, Lucknow, Uttar Pradesh, India
| | | | - Shivam Pandey
- Department of Biostatistics, AIIMS, New Delhi, India
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Osman AD, Howell J, Yates P, Jones D, Braitberg G. Examining emergency departments practices on advance care directives and medical treatment decision making using the victorian emergency minimum dataset. Australas Emerg Care 2024:S2588-994X(24)00001-0. [PMID: 38262819 DOI: 10.1016/j.auec.2024.01.001] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/22/2023] [Revised: 12/04/2023] [Accepted: 01/06/2024] [Indexed: 01/25/2024]
Abstract
INTRODUCTION Existence of Advance Care Planning (ACP) documents including contact details of Medical Treatment Decision Makers (MTDM), are essential patient care records that support Emergency Department (ED) clinicians in implementing treatment concordant with patients' expressed wishes. Based upon previous findings, we conducted a statewide study to evaluate the performance of Victorian public hospital emergency departments on reporting of availability of records for ACP. METHOD The study is a quantitative retrospective observational comparative design based upon ED tier levels as defined by the Australasian College for Emergency Medicine (ACEM) for the calendar year 2021. RESULTS Of 1.8 million total Victorian ED attendances, 15,222 patients had an ACP alert status recorded. Of these, 7296 were aged ≥ 65 years (study group). Of the thirty-one public EDs that submitted data, 65 % were accredited and assigned a level of service tier. The presence of ACP alerts positively correlated to location, tier level, age and gender (MANOVA wilk's; p < 0.001, value=.981, F = (12, 15,300), partial ƞ2 = .006, observed power = 1.0 = 95.919). CONCLUSION The identified rate of ACP reporting is low. Strategies to improve the result include synchronising ACP (generated at different points) electronically, staff education, training and further validation of the data at the sending and receiving agencies.
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Affiliation(s)
- Abdi D Osman
- Austin Health, Emergency Department, Heidelberg, Melbourne, Australia; Victoria University, St Albans, Melbourne, Australia; University of Melbourne, Department of Critical Care, Australia.
| | - Jocelyn Howell
- Austin Health, Emergency Department, Heidelberg, Melbourne, Australia
| | - Paul Yates
- Austin Health, Emergency Department, Heidelberg, Melbourne, Australia
| | - Daryl Jones
- Austin Health, Emergency Department, Heidelberg, Melbourne, Australia
| | - George Braitberg
- Austin Health, Emergency Department, Heidelberg, Melbourne, Australia; University of Melbourne, Department of Critical Care, Australia
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Affiliation(s)
| | - Laila Hallam
- Sydney Local Health District, Camperdown, NSW, Australia
| | - Sue Robins
- Bird Comm, Vancouver, British Columbia, Canada
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Correia T, Martins MM, Barroso F, Pinho L, Longo J, Valentim O. The Family's Contribution to Patient Safety. NURSING REPORTS 2023; 13:634-643. [PMID: 37092484 PMCID: PMC10123717 DOI: 10.3390/nursrep13020056] [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: 02/27/2023] [Revised: 03/24/2023] [Accepted: 03/26/2023] [Indexed: 04/25/2023] Open
Abstract
BACKGROUND Person- and family-centered care is one of the recommendations to achieve quality of care and patient safety. However, many health professionals associate the family with insecurity in care. OBJECTIVE To analyze, based on nurses' statements, the advantages and disadvantages of the family's presence in hospitals for the safety of hospitalized patients. METHODS This was a qualitative interpretative study based on James Reason's risk model, conducted through semi-structured interviews with 10 nurses selected by convenience. A content analysis was performed using Bardin's methodology and MAXQDA Plus 2022 software. RESULTS We identified 17 categories grouped according to the representation of the family in patient safety: The family as a Potentiator of Security Failures (7) and Family as a Safety Barrier (10). CONCLUSIONS The higher number of categories identified under Family as a Safety Barrier shows that nurses see strong potential in the family's involvement in patient safety. By identifying the need to intervene with and for families so that their involvement is safe, we observed an increase in the complexity of nursing care, which suggests the need to improve nursing ratios, according to the participants.
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Affiliation(s)
- Tânia Correia
- Instituto de Ciências Biomédicas Abel Salazar (ICBAS), Universidade do Porto (UP), 4050-313 Porto, Portugal
- CINTESIS@RISE, Nursing School of Porto (ESEP), 4200-450 Porto, Portugal
- Escola Superior de Saúde de Viseu (ESSV), Instituto Politécnico de Viseu (IPV), 3500-843 Viseu, Portugal
| | - Maria Manuela Martins
- Instituto de Ciências Biomédicas Abel Salazar (ICBAS), Universidade do Porto (UP), 4050-313 Porto, Portugal
- CINTESIS@RISE, Nursing School of Porto (ESEP), 4200-450 Porto, Portugal
- Escola Superior de Enfermagem do Porto (ESEP), 4050-313 Porto, Portugal
| | | | - Lara Pinho
- Nursing Department, Universidade de Évora, 7000-811 Évora, Portugal
- Comprehensive Health Research Centre (CHRC), Universidade de Évora, 7000-811 Évora, Portugal
| | - João Longo
- Nursing Research, Innovation and Development Centre of Lisbon (CIDNUR), 1990-096 Lisboa, Portugal
- Escola Superior de Saúde Ribeiro Sanches (ERISA)-IPLUSO, 1950-396 Lisboa, Portugal
| | - Olga Valentim
- CINTESIS@RISE, Nursing School of Porto (ESEP), 4200-450 Porto, Portugal
- Nursing Research, Innovation and Development Centre of Lisbon (CIDNUR), 1990-096 Lisboa, Portugal
- Escola Superior de Enfermagem de Lisboa (ESEL), 1600-096 Lisboa, Portugal
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Correia TSP, Martins MMFPS, Barroso FF, Valentim O, Fonseca C, Lopes M, Pinho LG. Safety and Family-Centered Care during Restriction of Hospital Visits due to COVID-19: The Experience of Family Members. J Pers Med 2022; 12:jpm12101546. [PMID: 36294685 PMCID: PMC9605370 DOI: 10.3390/jpm12101546] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/15/2022] [Revised: 09/08/2022] [Accepted: 09/16/2022] [Indexed: 11/16/2022] Open
Abstract
Background: Person and Family Centered Care (PFCC) has demonstrated important contributions to health care outcomes. However, in response to the need for safety due to the pandemic COVID-19, measures were taken to restrict hospital visits. So, the aim of this study was to understand the healthcare experience of family members of patients hospitalized during the pandemic period regarding safety and person- and family-centered care. Methods: Qualitative interpretative study, conducted through semi-structured interviews with six family members of people hospitalized during the pandemic period. Content analysis was performed using Atlas.ti software version 22 (Berlin, Germany) and Bardin’s methodology. Results and Conclusions: Restrictions on hospital visits due to the pandemic of COVID-19 have led to a distancing of families from the hospital setting and influenced healthcare practice, making it difficult to involve families in the care process. In some cases, healthcare professionals made efforts to provide PFCC, attempting to minimize the impact of the visitation restriction. However, there were reported experiences of care delivery that did not consider social and psychological factors and did not place the person and family at the center of the care process, relying instead on the biomedical model. These practices left out important factors for the provision of safe care. It is crucial, even in pandemic settings, that healthcare professionals provide person- and family-centered care to the extent possible, promoting the safety of care. The family should be involved in the care of the person in the inpatient setting.
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Affiliation(s)
- Tânia S. P. Correia
- Instituto de Ciências Biomédicas Abel Salazar (ICBAS), Universidade do Porto (UP), 4050-313 Porto, Portugal
- CINTESIS (Centro de Investigação em Tecnologias e Serviços de Saúde)—NursID (Innovation & Development in Nursing), 4050-313 Porto, Portugal
- Escola Superior de Saúde Ribeiro Sanches (ERISA)–IPLUSO, 1950-396 Lisboa, Portugal
- Correspondence:
| | - Maria Manuela F. P. S. Martins
- CINTESIS (Centro de Investigação em Tecnologias e Serviços de Saúde)—NursID (Innovation & Development in Nursing), 4050-313 Porto, Portugal
- Escola Superior de Enfermagem do Porto (ESEP), 4050-313 Porto, Portugal
| | | | - Olga Valentim
- CINTESIS (Centro de Investigação em Tecnologias e Serviços de Saúde)—NursID (Innovation & Development in Nursing), 4050-313 Porto, Portugal
- Escola Superior de Enfermagem de Lisboa (ESEL), 1600-096 Lisboa, Portugal
| | - César Fonseca
- Nursing Department, Universidade de Évora, 7000-811 Évora, Portugal
- Comprehensive Health Research Centre (CHRC), Universidade de Évora, 7000-811 Évora, Portugal
| | - Manuel Lopes
- Nursing Department, Universidade de Évora, 7000-811 Évora, Portugal
- Comprehensive Health Research Centre (CHRC), Universidade de Évora, 7000-811 Évora, Portugal
| | - Lara G. Pinho
- Nursing Department, Universidade de Évora, 7000-811 Évora, Portugal
- Comprehensive Health Research Centre (CHRC), Universidade de Évora, 7000-811 Évora, Portugal
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