Defining compassionate nursing care Su, Jing Jing; Masika, Golden Mwakibo; Paguio, Jenniffer Torralba ...
Nursing ethics,
03/2020, Letnik:
27, Številka:
2
Journal Article
Recenzirano
Background:
Compassion has long been advocated as a fundamental element in nursing practice and education. However, defining and translating compassion into caring practice by nursing students who ...are new to the clinical practice environment as part of their educational journey remain unclear.
Objectives:
The aim of this study was to explore how Chinese baccalaureate nursing students define and characterize compassionate care as they participate in their clinical practice.
Methods:
A descriptive qualitative study design was used involving a semi-structured in-depth interview method and qualitative content analysis. Twenty senior year baccalaureate nursing students were interviewed during their clinical practicum experience at four teaching hospitals.
Ethical considerations:
Permission to conduct the study was received from the Institutional Review Boards and the participating hospitals.
Results:
Baccalaureate nursing students defined and characterized compassionate care as a union of “empathy” related to a nurse’s desire to “alleviate patients’ suffering,” “address individualized care needs,” “use therapeutic communication,” and “promote mutual benefits with patients.” Students recognized that the “practice environment” was characterized by nurse leaders’ interpersonal relations, role modeling by nurses and workloads which influenced the practice of compassionate care by nursing personnel.
Conclusion:
Compassionate care is crucial for patients, nurses, and students in their professional development as well as the development of the nursing profession. In order to provide compassionate care, a positive practice environment promoted by hospital administrators is needed. This also includes having an adequate workforce of nurses who can role model compassionate care to students in their preceptor role while meeting the needs of their patients.
This study will explore the effects of high-quality nursing care (HQNC) for patients with lung cancer (LC) during the perioperative period (PPP).
A literature search will be performed at Cochrane ...Library, MEDLINE, EMBASE, Chinese Biomedical Literature Database, and China National Knowledge Infrastructure since its inception until October 1, 2019. All electronic databases will be searched with no restrictions of language and publication status. Two authors will perform study selection, data collection, and study quality assessment, respectively. We will use RevMan 5.3 software for statistical analysis.
This study will summarize the latest evidence on assessing the depression, anxiety, quality of life, and adverse events of HQNC in patients with LC during PPP.
The results of this study may provide helpful evidence of HQNC on psychological effects in patients with LC during PPP.
PROSPERO CRD42019155982.
Aims
To identify nursing care most frequently missed in acute adult inpatient wards and to determine evidence for the association of missed care with nurse staffing.
Background
Research has ...established associations between nurse staffing levels and adverse patient outcomes including in‐hospital mortality. However, the causal nature of this relationship is uncertain and omissions of nursing care (referred as missed care, care left undone or rationed care) have been proposed as a factor which may provide a more direct indicator of nurse staffing adequacy.
Design
Systematic review.
Data Sources
We searched the Cochrane Library, CINAHL, Embase and Medline for quantitative studies of associations between staffing and missed care. We searched key journals, personal libraries and reference lists of articles.
Review Methods
Two reviewers independently selected studies. Quality appraisal was based on the National Institute for Health and Care Excellence quality appraisal checklist for studies reporting correlations and associations. Data were ed on study design, missed care prevalence and measures of association. Synthesis was narrative.
Results
Eighteen studies gave subjective reports of missed care. Seventy‐five per cent or more nurses reported omitting some care. Fourteen studies found low nurse staffing levels were significantly associated with higher reports of missed care. There was little evidence that adding support workers to the team reduced missed care.
Conclusions
Low Registered Nurse staffing is associated with reports of missed nursing care in hospitals. Missed care is a promising indicator of nurse staffing adequacy. The extent to which the relationships observed represent actual failures, is yet to be investigated.
Background:
Previous research has linked missed nursing care to nurses’ work environment. Ethical climate is a part of work environment, but the relationship of missed care to different types of ...ethical climate is unknown.
Research objectives:
To describe the types of ethical climate in adult in-patient cancer care settings, and their relationship to missed nursing care.
Research design:
A descriptive correlation design was used. Data were collected using the Ethical Climate Questionnaire and the MISSCARE survey tool, and analyzed with descriptive statistics, Pearson’s correlation and analysis of variance.
Participants and research context:
All nurses from relevant units in the Republic of Cyprus were invited to participate.
Ethical considerations:
The research protocol has been approved according to national legislation, all licenses have been obtained, and respondents participated voluntarily after they have received all necessary information.
Findings:
Response rate was 91.8%. Five types identified were as follows: caring (M = 3.18, standard deviation = 1.39); law and code (M = 3.18, standard deviation = 0.96); rules (M = 3.17, standard deviation = 0.73); instrumental (M = 2.88, standard deviation = 1.34); and independence (M = 2.74, standard deviation = 0.94). Reported overall missed care (range: 1–5) was M = 2.51 (standard deviation = 0.90), and this was positively (p < 0.05) related to instrumental (r = 0.612) and independence (r = 0.461) types and negatively (p < 0.05) related to caring (r = −0.695), rules (r = −0.367), and law and code (r = −0.487).
Discussion:
The reported levels of missed care and the types of ethical climates present similarities and differences with the relevant literature. All types of ethical climate were related to the reported missed care.
Conclusion:
Efforts to reduce the influence of instrumental and independence types and fostering caring, law and code, and rules types might decrease missed nursing care. However, more robust evidence is needed.
Aim
To investigate the association of unfinished nursing care on nurse outcomes.
Design
Systematic review in line with National Institute for Health and Care Excellence guideline.
Data sources
...CINAHL, the Cochrane Library, Embase, Medline, ProQuest and Scopus databases were searched up until April 2020.
Review Methods
Two independent reviewers conducted each stage of the review process: screening eligibility, quality appraisal using Mixed Methods Appraisal Tool; and data extraction. Narrative synthesis compared measurements and outcomes.
Results
Nine hospital studies were included, and all but one were cross‐sectional multicentre studies with a variety of sampling sizes (136–4169 nurses). Studies had low internal validity implying a high risk of bias. There was also a high potential for bias due to non‐response. Only one study explicitly sought to examine nurse outcomes as a primary dependent variable, as most included nurse outcomes as mediating variables. Of the available data, unfinished nursing care was associated with: reduced job satisfaction (5/7 studies); burnout (1/3); and intention‐to‐leave (2/2). No association was found with turnover (2/2).
Conclusion
Unfinished nursing care remains a plausible mediator of negative nurse outcomes, but research is limited to single‐country studies and self‐reported outcome measures. Given challenges in the sector for nurse satisfaction, recruitment and retention, future research needs to focus on nurse outcomes as a specific aim of inquiry in relation to unfinished nursing care.
Impact
Unfinished nursing care has previously been demonstrated to be associated with staffing, education and work environments, with negative associations with patient outcomes (patient satisfaction, medication errors, infections, incidents and readmissions). This study offers new evidence that the impact of unfinished nursing care on nurses is under investigated. Policymakers can prioritize the funding of robust observational studies and quasi‐experimental studies with a primary aim to understand the impact of unfinished nursing care on nurse outcomes to better inform health workforce sustainability.
İntramusküler enjeksiyon çeşitli komplikasyonların gelişmesine neden olan önemli bir hemşirelik uygulamasıdır. Bu komplikasyonların önlenmesi için göz önünde bulundurulması gereken birçok faktör ...vardır. Gordon’un Fonksiyonel Sağlık Örüntüleri Modeli, bireylerin gereksinimlerini 11 fonksiyonel alanda ele alarak bireylere kapsamlı bakım verilmesini ve bütüncül olarak değerlendirilmesini sağlamaktadır. Bu olgu sunumunda dorsagluteal bölgeden intramusküler enjeksiyon yapılması nedeni ile komplikasyon gelişen hastanın Gordon’un Fonksiyonel Sağlık Örüntüleri Modeline göre hemşirelik bakımı yer almaktadır. Olgunun verileri, hasta bakımı sırasında yapılan gözlemler ve hasta ile yapılan görüşmelerden elde edilerek toplanmış, modele göre bakım içeriği planlanmış, uygulanmış ve değerlendirilmiştir.
•Patients fundamental care needs is of risk of being missed in the Emergency Departments.•One cause for Missed Nursing Care is a high patient input leading to a nurse-to-patient imbalance.•Missed ...nursing care likely have consequences for the quality of care and patient safety in Emergency departments.
Patient safety is a global health priority. Errors of omission, such as missed nursing care in hospitals, are frequent and may lead to adverse events. Emergency departments (ED) are especially vulnerable to patient safety errors, and the significance missed nursing care has in this context is not as well known as in other contexts.
The aim of this scoping review was to summarize and disseminate research about missed nursing care in the context of EDs.
A scoping review following the framework suggested by Arksey and O’Malley was used to (1) identify the research question; (2) identify relevant studies; (3) select studies; (4) chart the data; (5) collate, summarize, and report the results; and (6) consultation.
In total, 20 themes were derived from the 55 included studies. Missed or delayed assessments or other fundamental care were examples of missed nursing care characteristics. EDs not staffed or dimensioned in relation to the patient load were identified as a cause of missed nursing care in most included studies. Clinical deteriorations and medication errors were described in the included studies in relation to patient safety and quality of care deficiencies. Registered nurses also expressed that missed nursing care was undignified and unsafe.
The findings from this scoping review indicate that patients’ fundamental needs are not met in the ED, mainly because of the patient load and how the ED is designed. According to registered nurses, missed nursing care is perceived as undignified and unsafe.
Missed nursing care, staffing, and patient falls Kalisch, Beatrice J; Tschannen, Dana; Lee, Kyung Hee
Journal of nursing care quality,
2012 Jan-Mar, 2012-01-00, 20120101, Letnik:
27, Številka:
1
Journal Article
Recenzirano
Patient falls in hospitals continue to be a major and costly problem. This study tested the mediating effect of missed nursing care on the relationship of staffing levels (hours per patient day HPPD) ...and patient falls. The sample was 124 patient units in 11 hospitals. The HPPD was negatively associated with patient falls (r = -0.36, P < .01), and missed nursing care was found to mediate the relationship between HPPD and patient falls.
BackgroundAesthetics in nursing practice address creating beautiful, meaningful, desirable, and satisfying experiences for both the nurse and the patient. However, little is known about aesthetics in ...nursing practice.ObjectiveThe aim of this study was to describe the lived experiences of nurses who provide aesthetically pleasant care in nursing practice for cancer patients.MethodsThe hermeneutic phenomenological approach grounded on Gadamer’s philosophy was used in this study. Sixteen Nepalese nurses who met the inclusion criteria were the participants. The data collection consisted of 2 methods of drawing graphic illustrations to reflect aesthetic nursing practices and in-depth interviews to explain them. The researchers analyzed and interpreted art-based graphic illustrations and interview transcriptions of 16 Nepalese nurses using van Manen’s approach.ResultsThe 5 thematic categories covering these meanings comprised (1) knowing persons as whole, (2) creating a pleasant healing environment, (3) creative use of palliative care resources, (4) nurturing hope, and (5) rewarding the self.ConclusionThis study provides the understanding of the nurses’ thoughts and actions of aesthetics in their nursing practice. The inductive knowledge from the experiences of the nurses informs the nursing discipline and profession to promote aesthetics in nursing.Implications for PracticeThese findings can be used to promote aesthetics in nursing practice to improve patients’ well-being holistically and increase nurses’ satisfaction from caring.
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