ABSTRACT
AIM: The aim of this study was to determine the effects of mindfulness and self-compassion skills on the experienced stress and work satisfaction of emergency department (ED) and intermediate care unit employees. METHODS: All ED and intermediate care unit employees in the study hospital were invited to participate in an introductory lecture about mindfulness, compassion, and the intervention in January 2020. After the lecture, it was possible to enroll in training. This training was postponed due to Covid-19 and started in October 2020. RESULTS: The most important findings of this study are that instructor-led mindfulness training, and the regular use of a smartphone mindfulness application can significantly reduce stress and burnout and promote mindfulness and well-being of ED and intermediate care unit personnel. CONCLUSIONS: This study shows that compact mindfulness training via innovative digital technology has a positive effect in reducing ED and intermediate care unit employees stress and burnout, while improving mindfulness and well-being, and this is consistent with the wider literature. KEY FINDINGS: The regular practice of smartphone-guided mindfulness can reduce stress and burnout, as well as promote mindfulness and well-being among ED and intermediate care unit employees.
Subject(s)
Burnout, Professional , Mindfulness , Humans , Burnout, Professional/prevention & control , Empathy , Smartphone , Job SatisfactionABSTRACT
PURPOSE: The increase in day surgery has brought about a significant change in patient care and care continuity. The purpose of this study was to analyze nurses' perceptions of the realization of continuity of care in day surgery. Continuity of care is examined from the perspectives of time, flow, co-ordination flow, caring relationship flow, and information flow. DESIGN: Descriptive study. METHODS: A questionnaire including demographics and questions about continuity of care was completed by 83 of the 120 eligible nurses (response rate, 69%) in one hospital district in Finland. FINDINGS: According to the nurses, continuity of patient care is mostly well realized. On the day of surgery, information flow was the domain that was best realized. In the opinion of the nurses, continuity of care was least realized at home before surgery and at home during the period after surgery. CONCLUSIONS: Based on nurses' perceptions, continuity of care was relatively well realized.
Subject(s)
Ambulatory Surgical Procedures , Continuity of Patient Care , Nursing Staff/psychology , Adult , Female , Finland , Humans , Male , Middle Aged , Young AdultABSTRACT
This study dealt with patients' experiences of the continuity of care through an ambulatory surgical critical pathway. Data were collected from theme interviews conducted with surgical patients 25 days after their procedures. Important factors in continuity of care were defined as time flow, coordination flow, caring relationship flow, and information flow.
Subject(s)
Ambulatory Surgical Procedures/psychology , Attitude to Health , Continuity of Patient Care/organization & administration , Critical Pathways/organization & administration , Inpatients/psychology , Adult , Aftercare/psychology , Ambulatory Surgical Procedures/nursing , Female , Finland , Humans , Internal-External Control , Male , Middle Aged , Motivation , Nursing Methodology Research , Patient-Centered Care/organization & administration , Perioperative Care/psychology , Preoperative Care/psychology , Professional-Patient Relations , Quality of Health Care , Surveys and Questionnaires , Time and Motion StudiesABSTRACT
Critical pathways are care plans that detail the essential steps in patient care with a view to describing the expected progress of the patient. The authors' review of the literature suggest the use of critical pathways reduces the cost of care and the length of patient stay in hospital. They also have a positive impact on outcomes, such as increased quality of care and patient satisfaction, improved continuity of information, and patient education.