Association of quality of nursing care with violence load, burnout, and listening climate.

BACKGROUND: Violence against nurses is common. Previous research has recommended further development of the measurement of violence against nurses and integration of the individual and ward-related factors that contribute to violence against hospital nurses. This study was designed to address these issues by investigating the associations between violence, the listening climate of hospital wards, professional burnout, and perceived quality of care. For this purpose, we used a new operationalization of the violence concept. METHODS: We sought nurses to participate in the study through social media which yielded 765 nurses working in various healthcare systems across Israel who volunteered to complete a self-administered online questionnaire. 80% of the sample were hospital nurses, and 84.7% were female. The questionnaire included validated measures of burnout, listening climate, and quality of care. Instead of using the traditional binary measure of exposure to violence to capture the occurrence and comprehensive impact of violence, this study measured the incremental load of violence to which nurses are subjected. RESULTS: There were significant correlations between violence load and perceived quality of care and between constructive and destructive listening climates and quality of care. Violence load contributed 14% to the variance of burnout and 13% to the variance of perceived quality of care. The ward listening climate moderated the relationship between burnout and quality of care. CONCLUSIONS: The results of this study highlight the impact of violence load among nurses and the ward listening climate on the development of burnout and on providing quality care. The findings call upon policymakers to monitor violence load and allocate resources to foster supportive work environments to enhance nurse well-being and improve patient care outcomes.

Sequential Mediation Effects of Organizational Support and Collaboration on Missed Nursing Care.

BACKGROUND: It is necessary to find ways to mediate the relationship between role overload and missed nursing care in settings where nursing staffing is inadequate. This study aimed to identify the single and multiple sequential mediation effects of organizational support, nurse-physician collaboration, and nurse-nurse collaboration on the relationship between role overload and missed nursing care. METHODS: Data were collected from 237 registered Korean nurses working in general wards in October 2022. The measures used were the modified role overload scale, nurse-physician collaboration scale, nurse-nurse collaboration scale, a short version of the Perceived Organizational Support Scale, and the modified Missed Nursing Care Scale. Data were analyzed using PROCESS macro in SPSS. A hypothesis test was performed using Model 81, proposed by Hayes, which includes serial multiple mediators. RESULTS: Organizational support, nurse-physician collaboration, and nurse-nurse collaboration showed a mediation effect on missed nursing care. Organizational support, nurse-physician collaboration, and nurse-nurse collaboration showed significant multiple sequential mediation effects on the relationship between role overload and missed nursing care. When the indirect effect sizes of nurse-physician collaboration were compared with those of nurse-nurse collaboration in both single and multiple sequential mediation paths, the indirect effect of nurse-physician collaboration was greater than that of nurse-nurse collaboration on the relationship between role overload and missed nursing care. CONCLUSIONS: As an alternative strategy to reduce missed nursing care in situations with insufficient nursing staffing, organizational support should precede nurse-physician and nurse-nurse collaboration. In particular, improving nurse-physician collaboration shows promise in mitigating missed nursing care.

Salud Mental en enfermeras al cuidado de pacientes en área COVID: estudio de caso / Saúde mental dos enfermeiros que prestam cuidados a doentes na área da COVID: um estudo de caso / Mental Health in nurses caring for patients in the COVID area: case study

La enfermería es la labor que abarca la atención autónoma apersonas de todas las edades, familias, grupos y comunidades,la principal característica y esencia es el cuidado, implicaestablecer una relación de comprensión y acompañamiento demanera integral, convirtiéndolos en los principales cuidadoresformales en la asistencia, lo que pone de manifiesto lanecesidad de mirar su salud mental y bienestar del personalde enfermería. El objetivo fue describir el impacto en la saludmental de un profesional de la enfermería en la atencióna pacientes del área COVID en tiempos de pandemia, enel periodo 2022-2023. Se realizó un estudio cualitativo,primero mediante el análisis documental y posteriormentemediante el método fenomenológico, descriptivo con baseen el estudio de caso, considerando la temporalidad en tresmomentos, antes, durante y después de la pandemia porCOVID. Los hallazgos dan constancia, de cambios e impactosa nivel biológico, psicológico, social y espiritual que derivanen afectaciones en salud mental que se experimentaron,y, por otro lado, de la escasez acciones para dotar a losprofesionales de la salud de un acompañamiento, capacitacióny sensibilización en salud mental para la mejora de su labory bienestar personal.(AU)

A enfermagem é o trabalho que engloba o cuidado autônomoa pessoas de todas as idades, famílias, grupos e comunidades,a principal caraterística e essência é o cuidado, envolveo estabelecimento de uma relação de compreensão eacompanhamento de forma integral, tornando-os osprincipais cuidadores formais no cuidado, o que destaca anecessidade de olhar para sua saúde mental e bem-estar daequipe de enfermagem. O objetivo foi descrever o impactona saúde mental de um profissional de enfermagem nocuidado de pacientes na área da COVID em tempos depandemia, no período de 2022-2023. Realizou-se um estudoqualitativo, primeiro por meio de análise documental edepois pelo método fenomenológico, descritivo baseadono estudo de caso, considerando a temporalidade em trêsmomentos, antes, durante e após a pandemia da COVID. Osachados evidenciam mudanças e impactos a nível biológico,psicológico, social e espiritual que conduzem às afetaçõesde saúde mental vivenciadas e, por outro lado, a escassezde ações de acompanhamento, formação e sensibilizaçãoem saúde mental para os profissionais de saúde, com vistaà melhoria do seu trabalho e bem-estar pessoal.(AU)

Nursing is the work that encompasses autonomous care topeople of all ages, families, groups and communities, themain characteristic and essence is care, it involves establishinga relationship of understanding and accompaniment in a comprehensive manner, making them the main formalcaregivers in assistance, which highlights the need to lookat their mental health and well-being of the nursing staff. Theobjective was to describe the impact on the mental health of anursing professional in the care of patients in the COVID areain times of pandemic, in the period 2022-2023. A qualitativestudy was conducted, first through documentary analysisand then through the phenomenological method, descriptivebased on the case study, considering the temporality in threemoments, before, during and after the COVID pandemic.The findings provide evidence of changes and impacts atthe biological, psychological, social and spiritual levels thatresult in mental health affectations that were experienced,and, on the other hand, of the scarcity of actions to providehealth professionals with accompaniment, training andsensitization in mental health to improve their work andpersonal wellbeing.(AU)

Patients' experiences of shared decision-making in nursing care: A qualitative study.

AIM: To explore patients' experiences of shared decision-making, in nursing care during their stay in a healthcare institution. DESIGN: This study employed a qualitative descriptive design. METHODS: Twenty participants were interviewed from two rehabilitation centres, a nephrology ward of a hospital, and a rehabilitation ward of a long-term care facility. A constant comparative method was used for the inductive analysis. RESULTS: The main theme was 'feeling seen and understood', in the context of person-centred care, which served as the unifying thread across five themes. The five themes included the importance of a positive nurse-patient relationship as a foundation for shared decision-making. Next, patients experienced collaboration, and this was influenced by verbal and non-verbal communication. Another theme was that patients often felt overwhelmed during their stay, affecting shared decision-making. The fourth theme was that many decisions were not made through the shared decision-making process but were still perceived as satisfactory. The final theme highlighted patients' perspectives on their role in decision-making and influencing factors. CONCLUSION: Patients describe how feeling seen and understood is a prerequisite for shared decision-making as a part of person-centred care. For nurses, this implies that they should focus on aspects such as building a good relationship and acknowledgement of patients' feelings and circumstances, next to empowering patients to feel knowledgeable and valued. This way patient's motivation to participate in shared decision-making will be enhanced. REPORTING METHOD: Following the EQUATOR guidelines, reporting was guided by the Consolidated Criteria for Reporting Qualitative Research (COREQ). PATIENT OR PUBLIC CONTRIBUTION: Patients were involved in the study through interviews during the research process and member checks during analysis. IMPLICATIONS FOR THE PROFESSION AND/OR PATIENT CARE: Before initiating shared decision-making processes, prioritise making the patient feel seen and understood. Be mindful that patients often feel overwhelmed during their stay. Use a person-centred approach to make patients feel knowledgeable-this empowers them for shared decision-making. IMPACT: Research on patients' experiences of shared decision-making in nursing care is limited, yet crucial for understanding patients' needs in shared decision-making. This study highlights patients' perceptions that shared decision-making is best facilitated within the nurse-patient relationship by nurses who primarily focus on ensuring that patients feel acknowledged and understood.

Aprendizados gerados a partir da pandemia da COVID-19 entre enfermeiro / Aprendizaje generado a partir de la pandemia COVID-19 en enfermeras / Learning generated from the COVID-19 pandemy among nurses

Introduction: Brazilian nursing seems to have reached important levels of learning during the pandemic, not only because of the need to control the circulation of the new coronavirus and care for the sick. Objective: To know the learning generated from the COVID-19 pandemic among nurses. Methods: exploratory and qualitative study, carried out in August and September 2021, with tertiary health care nurses who were on the front line during the pandemic, in the State of Mato Grosso, Brazil. Individual interviews were carried out, based on guiding questions. For data analysis, the collective subject discourse was used. Results: As learnings generated, the participants pointed out professional aspects (theoretical/practical), as well as personal aspects (reflection of the value of the human being, family and professional fulfillment). Conclusion: The learning provided by the pandemic, while contributing to the perception that in the face of insecurity and uncertainty it is possible to learn and develop, highlights the strength of nurses, who were initially weakened during the pandemic, but which potentiated the sensitivity to new discoveries, confrontations and strengthening of their individual and collective resources.(AU)

Introducción: La enfermería brasileña parece haber alcanzado importantes niveles de aprendizaje durante la pandemia, no solo por la necesidad de controlar la circulación del nuevo coronavirus y cuidar a los enfermos. Objetivo: Conocer los aprendizajes generados a partir de la pandemia de COVID-19 entre las enfermeras. Métodos: estudio exploratorio y cualitativo, realizado en agosto y septiembre de 2021, con enfermeros de tercer nivel de salud que estuvieron en primera línea durante la pandemia, en el Estado de Mato Grosso, Brasil. Se realizaron entrevistas individuales, a partir de preguntas orientadoras. Para el análisis de los datos se utilizó el discurso del sujeto colectivo. Resultados: Como aprendizajes generados, los participantes señalaron aspectos profesionales (teórico/práctico), así como aspectos personales (reflejo del valor del ser humano, familia y realización profesional). Conclusión: Los aprendizajes proporcionados por la pandemia, si bien contribuye a la percepción de que ante la inseguridad y la incertidumbre es posible aprender y desarrollarse, enfatiza la condición de fortaleza del enfermero, que inicialmente durante la pandemia se vio debilitado, pero que se potenció la sensibilidad a nuevos descubrimientos, confrontaciones y fortalecimiento de sus recursos individuales y colectivos.(AU)

Introdução: A enfermagem brasileira parece ter alcançado importantes níveis de aprendizados durante a pandemia, não somente por necessidade de controle da circulação do novo coronavirus e do cuidado aos doentes. Objetivo: Conhecer os aprendizados gerados a partir da pandemia da COVID-19 entre enfermeiros. Métodos: estudo exploratório e qualitativo, realizado em agosto e setembro de 2021, com enfermeiros da atenção terciária a saúde que estavam na linha de frente durante a pandemia, no Estado de Mato Grosso, Brasil. Procedeuse entrevistas individuais, baseado em questões norteadoras. Para a análise dos dados, utilizou-se o discurso do sujeito coletivo. Resultados: Como aprendizados gerados, os participantes apontaram aspectos profissionais (teórico/prático), bem como aspectos pessoais (reflexão do valor do ser humano, família e realização profissional). Conclusão: Os aprendizados oportunizados pela pandemia, ao mesmo tempo em que contribui para a percepção de que diante da insegurança e incerteza é possível aprender e desenvolver, ressalta a condição de fortaleza do enfermeiro, que inicialmente durante a pandemia foram fragilizados, mas que potencializou a sensibilidade para novas descobertas, enfrentamentos e fortalecimento de seusrecursos individuais e coletivos.(AU)

Assistência à saúde nos transtornos mentais no período de puerpério: revisão integrativa / Health care in mental disorders in the period of puerperium: Integrative Review / Atención sanitaria en los trastornos mentales en el puerpério: Revisión integradora

No puerpério, a mulher passa por intensas mudanças de ordem familiar e social, como também de adaptações psicológicas e biológicas, que são marcadas por alterações metabólicas e hormonais complexas, sendo a fase de maior risco para o desenvolvimento de algum transtorno mental. Objetivo:Realizar uma revisão da literatura paraidentificar a assistência à saúde nos transtornos mentais no período de puerpério. Metodologia:Estudo descritivo na modalidade revisão integrativa, realizado com artigos originais disponíveis nas línguas portuguesa, inglesa e espanhola, publicados nas bases de dados Scientific Electronic LibraryOnline (SCIELO) e Literatura Latino-Americana em Ciências da Saúde (LILACS), no período de 2015 a 2021 com os seguintes descritores: assistência de enfermagem, transtornos mentais e períodopós-parto. Resultados:Foram encontrados 58artigos, dos quais 17foram selecionados ao final do processo. 10 trabalhos evidenciaram fatores associados com transtorno mental, 4 trabalhos descreveram medidas de proteção e 3 abordaram ações assistenciais de saúde na intervenção dos transtornos mentais no puerpério. Conclusões:Após análise da literatura, observa-seque o baixo suporte social e familiar se mostraram como principais fatores de risco associados aos transtornos mentais para a puérpera. Já os fatores de proteção foram relacionados com aumento do apoio familiar e assistencial por meio dos serviços de saúde, bem como a importância da enfermagem na implementação de estratégias preventivas para os transtornos mentais no puerpério (AU).

In the puerperium, women undergoes intense changes of family and social order, as well as psychological and biological adaptations, which are marked by complex metabolic and hormonal alterations, being the phase of greatest risk for the development of somemental disorder. Objective: Conduct a review of the literature to identify health care in mental disorders in the postpartum period.Methodology:Descriptive study in the integrative review modality, carried out with original articles available in Portuguese, English and Spanish, published in the scientific electronic library online (SCIELO) and Latin American literature in health sciences (LILACS) databases, from 2015 to 2021 with the following descriptors: nursing care, mental disorders and postpartum period.Results:Fifty-eight articles were found, of which 17 were selected at the end of the process. 10 studies showed factors associated with mental disorder, 4 studies described protective measures and 3 addressed health care actions in the intervention of mental disorders in the puerperium.Conclusions:After analyzing the literature, we observed that low social and family support were shown to be the main risk factors associated with mental disorders for the puerperal. On the other hand, the protective factors were related to increased family and care support through health services, as well as the importance of nursing in the implementation of preventive strategies for mental disorders in the puerperium (AU).

En el puerperio, la mujer sufre intensos cambios de orden familiar y social, así como adaptaciones psicológicas y biológicas, que se caracterizan por complejas alteraciones metabólicas y hormonales, siendo la fase de mayor riesgo para el desarrollo de algún trastorno mental.Objetivo:Realizar una revisión de la literatura para identificar la atención médica en los trastornos mentales en el período posparto. Metodología: Estudio descriptivo en la modalidad de revisión integradora, realizado con artículos originales disponibles en portugués, inglés y español, publicados en las bases de datos de la biblioteca científica electrónica en línea (SCIELO) y de la literatura latinoamericana en ciencias de la salud (LILACS), de 2015 a 2021 con los siguientes descriptores: cuidados de enfermería, trastornos mentales y puerperio.Resultados: Se encontraron cincuenta y ocho artículos, de los cuales 17 fueron seleccionados al final del proceso. 10 estudios mostraron factores asociadosal trastorno mental, 4 estudios describieron medidas de protección y 3 abordaron acciones de atención sanitaria en la intervención de los trastornos mentales en el puerperio.Conclusiones: Después de analizar la literatura, observamos que el bajo apoyo social y familiar demostró ser el principal factor de riesgo asociado a los trastornos mentales para el puerperal. Por otro lado, los factores protectores se relacionaron con el aumento del apoyo familiar y asistencial a través de los servicios de salud, asícomo la importancia de la enfermería en la implementación de estrategias preventivas para los trastornos mentales en el puerperio (AU).

Percepción en la recuperación de la salud y los cuidados de enfermería / Perception of health recovery and nursing care

INTRODUCCIÓN: El trato humanizado es cuando un profesional aborda el cuidado y la familia, compartiendo experiencias, apreciando valores y reconociendo la individualidad de la otra persona. OBJETIVO: Determinar la percepción en la recuperación de la salud de la persona hospitalizada respecto a la calidad de los cuidados de enfermería en el hospital regional de San Gil. MATERIALES Y MÉTODOS: Estudio descriptivo-transversal, la muestra estuvo conformada por 101 personas hospitalizadas que cumplieron con los criterios de inclusión, se aplicó el Instrumento sobre la Percepción en la recuperación de la salud de la persona hospitalizada respecto a la calidad de los cuidados de enfermería en el hospital regional de San Gil, los resultados se analizaron en el programa estadístico SPSS. RESULTADOS: El 97,0% (n=98) de los encuestados dicen que la buena relación de enfermera persona si mejora su estado de salud. CONCLUSIÓN: El profesional de enfermería brinda un cuidado al aspecto o necesidad emocional del paciente creando un entorno confortable siendo este el motivo por el cual se sienta más a gusto con la atención recibida.

INTRODUCTION: Humanized treatment is when a professional approaches care and family, sharing experiences, appreciating values and recognizing the individuality of the other person. OBJECTIVE: To determine the perception in the recovery of health of the hospitalized person regarding the quality of nursing care in the regional hospital of San Gil. METHODS: Descriptive-cross-sectional study, the sample consisted of 101 hospitalized persons who met the inclusion criteria, the Instrument on the Perception on the recovery of health of the hospitalized person with respect to the quality of nursing care in the regional hospital of San Gil was applied, the results were analyzed in the statistical program SPSS. RESULTS: 97.0% (n=98) of the respondents say that the good nurse-person relationship does improve their state of health. CONCLUSION: The nursing professional provides care to the emotional aspect or need of the patient by creating a comfortable environment, which is the reason why the patient feels more comfortable with the care received.

Covid-19, cuidar entre mascarillas, pantallas y un espacio-tiempo peligrosamente contagioso: una lectura fenomenológica / Covid-19, o cuidado entre máscaras, telas e um espaço-tempo perigosamente contagioso: uma leitura fenomenológica / Covid-19, caring between masks, screens and a dangerously contagious spacetime: a phenomenological Reading

The aim of this phenomenological article is to analyse the relationship of care in the context of contemporaneity and the pandemic. Methodology: The experience of care in the frameworkof Covid19 has allowed us to understand some physical and spatial barriers imposed in the syndemic framework. In order to reflect on this phenomenon, some philosophical postulates of Hanand Lévinas, related to the splitting of intersubjective relationships in the 20th century, as well asthe ontological construction of care proposed by Siles, have been taken as theoretical references.Conclusion: talking, being listened to and accompanied is therapeutic; while repression of the symbolic act increases painful tension. In the midst of this reality, it is worth remembering that, withoutcare, man ceases to be human. Without care, from birth to death, the human being disarticulates,weakens, loses meaning and dies. If, in the course of life, everything he undertakes is not undertaken with care, he will end up harming himself and destroying everything around him. (AU)

El objetivo de este artículo de carácter fenomenológico, es analizar la relación de cuidadoen el marco de la contemporaneidad y la pandemia. Metodología: La experiencia de cuidado en elmarco del Covid19 ha permitido comprender algunas barreras físicas y espaciales impuestas en elmarco sindemico, para la reflexión sobre este fenómeno, se han tomando como referentes teóricosalgunos postulados filosóficos de Han y Lévinas, relacionados con la escisión de las relaciones intersubjetivas en el siglo XX, así como también, la construcción ontológica del cuidado propuesta porSiles. Conclusión: hablar, ser escuchado y acompañado es terapéutico; mientras que la represión delacto simbólico incrementa la tensión dolorosa. En medio de esta realidad cabe recordar que, sin elcuidado, el hombre deja de ser humano. Si no se recibe cuidado, desde el nacimiento hasta la muerte,el ser humano se desarticula, se debilita, pierde sentido y muere. Si, en el transcurso de la vida, todolo que emprende no lo hace con cuidado, acabará por perjudicarse a sí mismo y por destruir todo loque se halla a su alrededor. (AU)

O objectivo deste artigo fenomenológico é analisar a relação dos cuidados no contexto dacontemporaneidade e da pandemia. Metodologia: A experiência dos cuidados no quadro da Covid19permitiu-nos compreender algumas barreiras físicas e espaciais impostas no quadro sindémico. Parareflectir sobre este fenómeno, alguns postulados filosóficos de Han e Lévinas, relacionados com adivisão das relações intersubjectivas no século XX, bem como a construção ontológica dos cuidadosproposta por Siles, foram tomados como referências teóricas. Conclusão: falar, ser ouvido e acompanhado é terapêutico; enquanto a repressão do acto simbólico aumenta a tensão dolorosa. No meiodesta realidade, vale a pena recordar que, sem cuidado, o homem deixa de ser humano. Sem cuidados, do nascimento à morte, o ser humano desarticula-se, enfraquece, perde o sentido e morre. Se,no decurso da vida, tudo o que ele empreende não for empreendido com cuidado, acabará por seprejudicar a si próprio e destruir tudo à sua volta. (AU)

Educación tanatológica en Enfermería / Thanatological education in Nursing

Todo paciente terminal y su entorno pasan por una difícil situación que involucra la muerte, el dolor y la decisión. Para cualquier profesional de la salud es necesario contar con los conocimientos necesarios acerca de los cuidados tanatológicos al paciente o familia, para lograr incrementar el grado de conciencia en lo concerniente a su significado, divulgación y accesibilidad, teniendo en cuenta que es importante la comprensión de dichos cuidados. Los cuidados tanatológicos ante situaciones terminales son la expresión y el cumplimiento de un servicio indispensable en determinadas circunstancias de la vida. El acompañamiento en la última fase de la vida debe ser comprendido con la naturaleza y el conocimiento necesario, por lo que toda escuela que forme recursos en salud debe ofrecer al alumno las herramientas adecuadas para que, a su egreso como profesional de la salud, pueda atender correctamente al paciente en esta fase. La profesión de Enfermería se ha caracterizado por su gran labor humanística, por el ímpetu de aminorar el dolor de todo enfermo, comprendiendo el eje bio-psico-social que rodea a todo paciente y su enfermedad. En el camino asistencial de todo enfermo, el personal de Enfermería juega un rol muy importante al estar en mayor contacto con el paciente, es en este punto donde dos ciencias (Enfermería y Tanatología) se unen para asistir decorosamente a pacientes terminales. Las escuelas formadoras de capital humano en salud deben enfocarse en esta nueva necesidad de la sociedad y crear modelos de atención específicos para pacientes terminales.

Every terminal patient and their environment go through a difficult situation, death, pain and decision. For any health professional, it is necessary to have the necessary knowledge about thanatological care for the individual or family, in order to increase the degree of awareness regarding its meaning, dissemination and accessibility, taking into account that it is important to understand said care. Thanatological care in terminal situations is the expression and fulfillment of an essential service in certain life circumstances. The accompaniment in the last phase of life must be understood with the nature and the necessary knowledge, so that every school that trains health resources must have the correct training so that the health professional who graduates can properly attend to the patient In this phase. The nursing profession has been characterized for many years by its great humanistic work, by the impetus to reduce the pain of every patient, understanding the bio-psycho-social axis that surrounds every patient and their illness. In the care path of every patient, the nursing staff plays a very important role by being in greater contact with the patient, it is at this point where two sciences (nursing and tanology) come together to decently assist terminal patients. Schools that train human capital in health should focus on this new need of society and create specific care models for terminal patients.

Effects of Individualized Nursing Based on Zero-Defect Theory on Perioperative Patients Undergoing Laparoscopic Cholecystectomy.

Objective: This study is aimed at analyzing the effects of individualized nursing based on the zero-defect theory on perioperative patients undergoing laparoscopic cholecystectomy. Methods: 174 patients who underwent laparoscopic cholecystectomy from 1st November 2019 to 30th November 2020 were enrolled as the research subjects and randomly divided into control and observation groups. The patients in the control group received conventional perioperative nursing care, and the patients in the observation group were treated with individualized nursing based on the zero-defect theory. Results: The heart rate, diastolic blood pressure, and systolic blood pressure level of patients in two groups after nursing decreased significantly, and the reduction in the observation group was more significant than that in the control group. The depression and anxiety scores of the two groups after nursing were decreased, and the decrease in the observation group was significantly greater than that in the control group. The time to first postoperative exhaust, return to normal intake, out-of-bed activity, and hospital stay in the observation group was less than that in the control group. The incidence of postoperative complications in the observation group was substantially lower than that in the control group. The satisfaction degree of nursing care in the observation group was significantly higher than that in the control group. Conclusion: Individualized nursing care based on zero-defect theory can effectively reduce the perioperative psychological stress response of patients with laparoscopic cholecystectomy. It helps to improve the negative emotions of depression and anxiety, promotes the recovery of disease, reduces postoperative complications, and improves nursing satisfaction, which is worthy of clinical promotion.

Nursing Care Experiences With Syrian Refugees in Southern Turkey: A Metaphor Analysis.

BACKGROUND: Healthcare professionals' "cultural prejudices" toward individuals' cultural beliefs, attitudes, and perceptions affect the care they provide. Their awareness of their bias is closely associated with the quality of healthcare provided. PURPOSE: This study was designed to assess nurses' perceptions regarding providing care to Syrian refugee patients using metaphors and to evaluate their views based on these metaphors. METHODS: The participants in this qualitative study consisted of 80 nurses who worked in Level 1 and Level 2 health institutions. Data were collected using an interview form prepared by the researchers. The form included descriptive characteristics of the nurses and two expressions used to determine the nurses' opinions on providing care for Syrian refugee patients. The nurses were given an incomplete sentence, which was "Providing care for a Syrian refugee patient…because…," and were asked to complete the blanks. The data were analyzed using the content analysis method. RESULTS: On the basis of "providing care for Syrian refugee patients," four categories of metaphors were determined: occupational awareness, health promotion, a difficult process/resistance, and providing service in vain. The participants generated 50 metaphors, with "humanity," "a baby/little child," and "a barrier" as the three most used metaphors, belonging to the "occupational awareness" and "a difficult process/resistance" categories, respectively. CONCLUSIONS/IMPLICATIONS FOR PRACTICE: The metaphors of nurses regarding giving care to Syrian refugee patients were mostly concentrated in the categories of "occupational awareness" and "a difficult process/resistance." Metaphors generated by the nurses offer a powerful research tool to reveal, understand, and explain nurses' personal perceptions and to develop and support nursing care accordingly. In addition, the subject of transcultural nursing should be discussed more extensively in nursing education programs. Understanding the social context of refugees is very important during the nursing care process.

Perception and performance of the nursing team in caring for patients with suicide behavior

Objective: to understand the perception and performance of the Nursing team in a hospital emergency service in the care of patients after attempting suicide. Methods: exploratorystudy, with a qualitative approach, carried out through semi-structured interviews with Nursing professionals who work in an Emergency Service. The interviews were transcribed and analyzed as to their content following Bardin's thematic model. Results: seven nurses and four Nursing technicians participated in the study, with an average age of 36 years, most of them female. Suicide attempts are often associated with 'psychic pain' that is opposed to the principles of life preservation; such an attitude has caused suicidal behavior to be misinterpreted by health professionals. Conclusion: most professionals demonstrated a stereotyped 'pre-concept' and full of taboos about patients who attempted suicide, which triggered a service more directed to physical needs and protocol formalities. Few professionals reported carrying out holistic and empathic care, which is so necessary for these people. In this sense, the importance and urgency of training the team in the identification of suicide risks and in the continuity of treatment of surviving individuals is emphasized.

Sentimentos da equipe de enfermagem diante da covid-19 no cuidado aos primeiros pacientes: estudo descritivo / Feelings of the nursing team in the face of covid-19 in the care of the first patients: descriptive study / Sentimientos del equipo de enfermería frente a la covid-19 en el cuidado a los primeros pacientes: estudio descriptivo

OBJETIVOS: analisar os sentimentos e os conflitos experienciados pelos profissionais de enfermagem no cuidado aos pacientes com COVID-19; analisar a implementação do cuidado de enfermagem aos primeiros pacientes com COVID-19 em uma unidade de terapia intensiva na cidade do Rio de Janeiro. MÉTODO: pesquisa qualitativa, descritiva e exploratória. Participaram 71 profissionais da equipe de enfermagem que desenvolvem atividades laborais no enfrentamento à COVID-19 numa unidade de terapia intensiva na cidade do Rio de Janeiro, através de coleta on-line. Para as análises utilizaram-se estatística descritiva e análise de conteúdo temática. RESULTADOS: a análise de conteúdo revelou sentimentos diante do vírus desconhecido, medo de se infectar, medo de perder a vida e os aspectos assistenciais diante do fenômeno COVID-19. CONCLUSÃO: a enfermagem apresentou sentimentos e conflitos, como insegurança e medo. O grupo construiu conhecimentos e habilidades para dar conta da realização deste cuidado na pandemia, incluindo aspectos criativos e de construção coletiva.

OBJECTIVES: to analyze the feelings and conflicts experienced by nursing professionals in the care of patients with COVID-19; to analyze the implementation of nursing care for the first patients with COVID-19 in an intensive care unit in the city of Rio de Janeiro. METHOD: qualitative, descriptive and exploratory research. Participants were 71 professionals from the nursing team who develop work activities in the fight against COVID-19 in an intensive care unit in the city of Rio de Janeiro, through online collection. Descriptive statistics and thematic content analysis were used for the analyses. RESULTS: the content analysis revealed feelings in the face of the unknown virus, fear of getting infected, fear of losing one's life and care aspects in the face of the COVID-19 phenomenon. CONCLUSION: nursing presented feelings and conflicts, such as insecurity and fear. The group built knowledge and skills to handle the realization of this care in the pandemic, including creative aspects and collective construction.

OBJETIVOS: analizar los sentimientos y los conflictos experimentados por los profesionales de enfermería en el cuidado a los pacientes con COVID-19; analizar la implementación del cuidado de enfermería a los primeros pacientes con COVID-19 en una unidad de terapia intensiva en la ciudad de Río de Janeiro. MÉTODO: investigación cualitativa, descriptiva y exploratoria. Participaron 71 profesionales del equipo de enfermería que desarrollan actividades laborales en el enfrentamiento a la COVID-19 en una unidad de terapia intensiva en la ciudad de Río de Janeiro, por medio de colecta en línea. Para los análisis se utilizaron la estadística descriptiva y el análisis temático de contenido. RESULTADOS: el análisis de contenido reveló sentimientos frente al virus desconocido, miedo de infectarse, miedo de perder la vida y los aspectos asistenciales frente al fenómeno COVID-19. CONCLUSÍON: el sector de enfermería presentó sentimientos y conflictos, como inseguridad y miedo. El grupo construyó conocimientos y habilidades para implementar la realización de este cuidado en la pandemia, incluyendo aspectos creativos y de construcción colectiva.

Cuidado espiritual à mãe de bebê com malformação à luz da Teoria Watson: compreensão de enfermeiras / Cuidado espiritual para la madre de un bebé con malformación a la luz de la Teoría de / Spiritual care for mothers of babies with malformation in the light of Watson's theory: the nurses' understanding

Resumo Objetivos investigar a compreensão de enfermeiras assistenciais sobre espiritualidade; analisar o cuidado espiritual prestado pelas enfermeiras à mãe de bebê com malformação, à luz da Teoria de Jean Watson. Método abordagem qualitativa, implementando a entrevista semiestruturada com 11 enfermeiras de uma maternidade de referência no município de João Pessoa (PB). Os dados foram analisados a partir da técnica da análise de conteúdo proposta por Bardin. Resultados emergiram duas categorias: compreensão de enfermeiras sobre espiritualidade e cuidado espiritual; cuidado espiritual prestado pelas enfermeiras às mães de bebês com malformação congênita, na perspectiva da Teoria de Jean Watson. As profissionais utilizam, empiricamente, elementos do Processo Clinical Caritas-Veritas. Conclusão e implicações para a prática as enfermeiras compreendem espiritualidade como algo que norteia e dá sentido à vida, podendo ou não estar relacionada a uma prática religiosa. Reconhecem que o cuidado espiritual auxilia as mães no enfrentamento de problemas.

Resumen Objetivos Investigar la comprensión de enfermeros asistenciales sobre espiritualidad; analizar el cuidado espiritual que prestan las enfermeras a la madre de un bebé con malformación, a la luz de la Teoría de Jean Watson. Método abordaje cualitativo implementando una entrevista semiestructurada con once enfermeras de una maternidad de referencia en la ciudad de João Pessoa (Estado de Paraíba, noreste de Brasil). Los datos se analizaron mediante la técnica de análisis de contenido propuesta por Bardin. Resultados asomaron dos categorías: comprensión del enfermero sobre espiritualidad y cuidado espiritual y el cuidado espiritual ofrecido por los enfermeros a las madres de bebés malformados en la perspectiva de la teoría de Jean Watson. Los profesionales utilizan empíricamente elementos del Proceso Clínico Caritas-Veritas. Conclusión e implicaciones para la práctica Los enfermeros comprenden espiritualidad como algo que orienta y ofrece sentido a la vida, pudiendo o no estar ligada a una práctica religiosa. Reconocen que el cuidado espiritual ofrecido a las madres de bebés malformados las auxilia en el enfrentamiento del problema.

Abstract Objectives to investigate the understanding of nursing assistants on spirituality; to analyze the spiritual care provided by nurses to the mother of a baby with a malformation in the light of Watson's Theory. Method this was a qualitative approach implementing semi-structured interviews with eleven nurses from a reference maternity hospital in the city of João Pessoa (Paraíba State, northeastern Brazil). Data were analyzed using the content analysis technique proposed by Bardin. Results two categories emerged: the nurses' understanding of spirituality and spiritual care and the spiritual care provided by the nurses to the mothers of malformed babies from the perspective of Watson's theory. The professionals empirically use elements of the Caritas-Veritas Clinical Process. Conclusion and implications for the practice the nurses understand spirituality as something that guides and brings meaning to life, whether or not it is linked to religious practice. They recognize that the spiritual care provided to the mothers of malformed babies helps them cope with the problem.

Por trás dos sorrisos: sofrimento moral na oferta do cuidado oncológico / Detrás de las sonrisas: sufrimiento moral en la prestación de atenciónoncológica / Behind the smiles: moral suffering in the provision of cancer care

Objective: to understand the moral experience of a nursing team that does not take care of cancerpatients. Method: Qualitative study, based on a non-referential basis of Medical Anthropology, whichrecognizes the human being as being aware of their thoughts and practices, as well as understanding thatthe problems that permeate health emerge from the interaction of two cultural and social factors,environmental, political and economic contexts. Research was carried out in the Oncology Unit of areference hospital that does not treat people with cancer in Brazil. To select two intentionally occurring,non-probabilistic participants. An analysis was an issue. Results: As a research, it is possible to affirmthat you are professionals in cancer care because you have a philosophy of differentiated care, a bondwith the patient and a feeling of relief related to moral growth. Conclusion: Based on two identifiedresults, it is considered that nurses who practice cancer care live with moral and cultural issues thatinvolve the care of cancer patients, generating moral support associated with personal, cultural andinstitutional values, according to the participants identified. (AU)

Objetivo: comprender la experiencia moral de un equipo de enfermería que no atiende a pacientescon cáncer. Método: Estudio cualitativo, basado en una base no referencial de la Antropología Médica,que reconoce al ser humano como consciente de sus pensamientos y prácticas, así como comprender quelos problemas que permean la salud surgen de la interacción de dos factores culturales y sociales. ,contextos ambientales, políticos y económicos. La investigación se realizó en la Unidad de Oncología deun hospital de referencia que no atiende a personas con cáncer en Brasil. Seleccionar dos participantes noprobabilísticos que ocurran intencionalmente. Un análisis fue un problema. Resultados: Comoinvestigación, es posible afirmar que son profesionales en la atención del cáncer porque tienen unafilosofía de atención diferenciada, un vínculo con el paciente y un sentimiento de alivio relacionado conel crecimiento moral. Conclusión: A partir de dos resultados identificados, se considera que losenfermeros que practican el cuidado del cáncer conviven con cuestiones morales y culturales queinvolucran el cuidado del paciente con cáncer, generando un apoyo moral asociado a valores personales,culturales e institucionales, según los participantes identificados. (AU)

Objetivo: compreender a experiência moral de uma equipe de enfermagem no cuidado aopaciente oncológico. Método: Estudo qualitativo, com base no referencial da Antropologia Médica, quereconhece o ser humano como um ser consciente de seus pensamentos e práticas, assim compreende-seque os problemas que permeiam a saúde emergem da interação dos contextos culturais, sociais,ambientais, políticos e econômicos. A pesquisa foi realizada na Unidade Oncológica de um hospitalreferência no tratamento a pessoas com câncer no sul do Brasil. A seleção dos participantes ocorreu demodo intencional, não probabilístico. A análise foi a temática indutiva. Resultado: Com a pesquisa épossível afirmar que os profissionais do cuidado oncológico apresentaram uma filosofia do cuidadodiferenciado, um vínculo com os pacientes e sentimento de sofrimento relacionados ao julgamento moral.Conclusão: A partir dos resultados identificados considera-se que o enfermeiro que pratica cuidadosoncológicos lida com questões morais e culturais que envolvem o cuidado ao paciente oncológico, gerando um sofrimento moral associado a valores pessoais, culturais e institucionais como os identificados nas participantes. (AU)

Autocuidado espiritual da equipe de enfermagem de um hospital oncológico / Spiritual self-care of the nursing staff of an oncology hospital / Autocuidado espiritual del personal de enfermería de un hospital de oncología

Objetivo: compreender as ações realizadas pela equipe de Enfermagem de um hospital oncológico para o desenvolvimento do autocuidado espiritual. Métodos: estudo descritivo-exploratório de abordagem qualitativa, realizado num hospital oncológico brasileiro. Foram entrevistados 12 profissionais de Enfermagem do hospital em janeiro de 2018. Os dados foram analisados através da Análise de Conteúdo. O estudo respeitou os aspectos éticos, parecer 2.415.223. Resultados: as cinco categorias desvelaram que o desenvolvimento da espiritualidade ocorre por meio do auxílio ao próximo e ato de cuidar; da interação social e do diálogo; do exercício de práticas religiosas; pela composição de canções; e ainda uma que revelou a negação de práticas relacionadas ao desenvolvimento espiritual. Conclusão: cuidado ao próximo, interação social, práticas religiosas e lúdicas foram apontadas como promotoras do autocuidado espiritual. Sugere-se a potencialização destas atividades, visto a importância da espiritualidade para pacientes e familiares, reverberando positivamente no cuidado prestado pela equipe de Enfermagem

Objective: to understand the actions performed by the nursing team of an oncology hospital for the development of spiritual self-care. Methods: descriptive-exploratory study with a qualitative approach, carried out in a Brazilian oncologic hospital. Twenty-two nursing professionals from the hospital were interviewed in January 2018. The data were analyzed through Content Analysis. The study respected ethical aspects, legal opinion 2.415.223. Results: the five categories showed that the development of spirituality occurs through the help of others and the act of caring; social interaction and dialogue; the exercise of religious practices; by the composition of songs; and one that revealed the denial of practices related to spiritual development. Conclusion: care for others, social interaction, religious and playful practices were identified as promoters of spiritual self-care. The enhancement of these activities is suggested, given the importance of spirituality for patients and families, positively reverberating in the care provided by the Nursing team

Objetivo: comprender las acciones realizadas por el equipo de enfermería de un hospital oncológico para el desarrollo del autocuidado espiritual. Métodos: estudio descriptivo-exploratorio con abordaje cualitativo, realizado en un hospital oncológico brasileño. Veintidós profesionales de enfermería del hospital fueron entrevistados en enero de 2018. Los datos fueron analizados a través del Análisis de Contenido. El estudio respetó aspectos éticos, opinión 2.415.223. Resultados: las cinco categorías mostraron que el desarrollo de la espiritualidad se produce a través de la ayuda de otros y el acto de cuidar; interacción social y diálogo; el ejercicio de prácticas religiosas; por la composición de canciones; y uno que reveló la negación de prácticas relacionadas con el desarrollo espiritual. Conclusión: el cuidado de los demás, la interacción social, las prácticas religiosas y lúdicas se identificaron como promotores del autocuidado espiritual. Se sugiere la potenciación de estas actividades, dada la importancia de la espiritualidad para los pacientes y sus familias, repercutiendo positivamente en los cuidados brindados por el equipo de Enfermería

Percepção dos pais sobre as práticas de educação em saúde na Unidade Neonatal / Percepción de los padres sobre las prácticas de educación para la salud en una Unidad Neonatal / Parents' perception of health education practices in Neonatal Unit

Resumo Objetivo analisar a percepção dos pais sobre as práticas de educação em saúde desenvolvidas pelos enfermeiros na Unidade Neonatal que facilitaram a aquisição de competências parentais para uma tomada de decisão fundamentada. Método estudo exploratório e descritivo, com abordagem qualitativa. Participaram 13 pais com filhos internados, pela primeira vez, em uma Unidade Neonatal portuguesa. Os dados foram colhidos entre fevereiro e agosto de 2020, por meio de grupos focais, processados no software Interface de R pour Analyses Multidimensionnelles de Textes et de Questionneires, através da Classificação Hierárquica Descendente e da Análise de Similitude. Resultados da Classificação Hierárquica Descendente, emergiram quatro classes: "Necessidades de informação", "Lacunas na informação", "Disponibilidade para informar"; "Práticas facilitadoras da educação em saúde". Conclusão e implicações para a prática os pais consideraram como práticas facilitadoras da educação em saúde a tecnologia digital aliada à disponibilidade dos enfermeiros para informar e explicar, bem como propiciar um ambiente empático e informal. Tal resultado pode subsidiar o desenvolvimento de intervenções de enfermagem de educação em saúde para pais na Unidade Neonatal, com recurso à tecnologia digital.

Resumen Objetivo analizar la percepción de los padres sobre las prácticas de educación en salud desarrolladas por enfermeras de la Unidad Neonatal que facilitaron la adquisición de habilidades parentales para la toma de decisiones informada. Método estudio exploratorio descriptivo, con abordaje cualitativo. Participaron 13 padres con hijos hospitalizados, por primera vez, en una Unidad Neonatal Portuguesa. Los datos fueron recolectados entre febrero y agosto de 2020, a través de grupos focales, procesados en el software Interface de R pour Multidimensionnelles de Textes et de Questionneires, a través de la Clasificación Jerárquica Descendente y el Análisis de Similitud. Resultados surgieron cuatro clases de la Clasificación Jerárquica Descendente: "Necesidades de información"; "Brechas de información"; "Disponibilidad para informar"; "Prácticas facilitadoras de la educación para la salud". Conclusión e implicaciones para la práctica los padres consideraron prácticas facilitadoras para la educación en salud la tecnología digital combinada con la disponibilidad de enfermeras para informar y explicar, además de brindar un ambiente empático e informal. Este resultado puede apoyar el desarrollo de intervenciones de enfermería de educación para la salud para los padres en Unidad Neonatal, con el uso de tecnología digital.

Abstract Objective to analyze parents' perception of health education practices developed by nurses in a Neonatal Unit that facilitated the acquisition of parenting skills for an informed decision-making. Method this is an exploratory, descriptive and qualitative study. We included 13 parents with children hospitalized for the first time in a Portuguese Neonatal Unit. Data were collected between February and August 2020, through focus groups, processed in the software Interface de R pour Multidimensionnelles de Textes et de Questionneires, through Descending Hierarchical Classification and Similitude Analysis. Results four classes emerged from the Descending Hierarchical Classification: "Information needs"; "Information gaps"; "Availability to inform"; "Facilitating health education practices". Conclusion and implications for practice parents considered digital technology combined with nurses' availability to inform and explain, as well as provide an empathetic and informal environment as facilitating practices for health education. These results can support health education nursing interventions for parents at the Neonatal Units using digital technology.

Selected predictors of parental satisfaction with child nursing care in paediatric wards in Poland-Cross-sectional study.

BACKGROUND: Assessment of parental satisfaction with child nursing is the key issue in evaluation of the care quality, enabling the adjustment of the services provided to the needs and expectations of recipients, and thus ensuring safety and achieving better long-term health effects. AIM: Assessment of parental satisfaction with child nursing in paediatric wards including its determinants. MATERIAL AND METHODS: The study covered 1030 parents of children hospitalised in paediatric and surgical wards of seven hospitals of different levels of health security in Poland. The Polish adaptation of the Empathic standardised questionnaire for assessment of the level of parents' satisfaction with nursing care, developed by Latour et al. and the self-constructed summary of socio-demographic data were applied in the study. RESULTS: More than 90% of respondents expressed high level of satisfaction with nurses' Availability, the lowest, but still high score of respondents' satisfaction was observed for Parental Participation. The highest satisfaction was observed among the parents of children at the preschool, early school and puberty stage, admitted to the hospital on the elective basis, referred for diagnostic assessment and with the length of hospital stay less than 7 and longer than 28 days. Achieving preschool age was the strongest factor which increased assessment of satisfaction in most domains. CONCLUSIONS: There is a need for optimising nursing care especially in the area of parental participation. The nursing care' quality improvement plan in paediatric departments should focus particularly on early childhood patients and their parents who are the most critical in satisfaction' assessment.

Facing Challenges, Creating Connections: An Interview With Joanne Disch, PhD, RN, FAAN.

Mary Beth Kingston, PhD, RN, NEA-BC, FAAN, chief nurse executive of Advocate Aurora Health and past president of the American Organization for Nursing Leadership (AONL), interviews her mentor, Joanne Disch, PhD, RN, FAAN, who serves on the Advocate Aurora Health Board of Directors and was the inaugural chair. Dr Disch also serves as chair of the Chamberlain University Board of Trustees and is professor ad honorem at the University of Minnesota School of Nursing. This is an abridged version of the interview, which took place at the AONL Virtual Conference in 2020.