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1.
Rev Gaucha Enferm ; 42(spe): e20200217, 2021.
Artículo en Inglés, Portugués | MEDLINE | ID: mdl-33787726

RESUMEN

OBJECTIVE: To discuss the emotional labor in pediatric nursing considering the repercussions of COVID-19 in childhood and adolescence. METHOD: Reflexion based on theoretical aspects and scientific evidence of emotional labor in pediatric nursing. RESULTS: Given the repercussions of COVID-19 on children and adolescents, it is up to the nurse to recognize them and nurture a non-traumatic and affectionate care. However, measures to control the disease affect the care provided. In this context, emotional labor process become essential, as they guide the management of the child's and family's emotions, associated with the suffering caused by the pandemic and the nurse's emotional experience when caring. CONCLUSION: Emotional support and care processes are essential in pediatrics, especially in a stressful time such as a pandemic, which requires the positive transformation of the intense and disturbing experiences of people for them to achieve psychosocial well-being.


Asunto(s)
/psicología , Emociones , Familia/psicología , Enfermería Pediátrica , Adolescente , /enfermería , Niño , Preescolar , Humanos , Acontecimientos que Cambian la Vida , Rol de la Enfermera , Relaciones Enfermero-Paciente , Personal de Enfermería/psicología , Pandemias , Psicología del Adolescente , Psicología Infantil , Investigación Cualitativa
2.
J Nurs Adm ; 51(4): 192-199, 2021 Apr 01.
Artículo en Inglés | MEDLINE | ID: mdl-33734178

RESUMEN

OBJECTIVE: Objectives were to evaluate patient perceptions of a nurse-led, patient-centered gratitude intervention and if nurses identified actionable items to improve patient's hospitalization experience. BACKGROUND: Research demonstrates positive effects of gratitude and caring interventions on patient health and well-being. Evidence is sparse regarding nurse-led gratitude interventions improving hospitalized patient's experiences. METHODS: In this pilot study, 91 adult medical patients completed gratitude forms twice daily for up to 6 shifts and a study discharge form documenting intervention perceptions. In response to the patients' gratitude-related feedback, RNs recorded patient experience-related actions they and interprofessional teams could implement. RESULTS: On average, patients perceived the nurse-led gratitude intervention as helpful (4.2) (1 = very unhelpful, 5 = very helpful) and improved hospitalization experiences (4.3) (1 = seldom, 5 = never). Most of the time actions were required or to be taken, based on patient gratitude intervention responses. CONCLUSIONS: Patient perceptions of nurse-led gratitude intervention demonstrated helpfulness and improved hospitalization experience.


Asunto(s)
Relaciones Enfermero-Paciente , Satisfacción del Paciente/estadística & datos numéricos , Atención Dirigida al Paciente/métodos , Espiritualidad , Adulto , Femenino , Humanos , Masculino , Persona de Mediana Edad , Alta del Paciente/estadística & datos numéricos , Proyectos Piloto , Lugar de Trabajo/psicología
3.
Nurs Sci Q ; 34(2): 207-208, 2021 04.
Artículo en Inglés | MEDLINE | ID: mdl-33749426

RESUMEN

This essay is about what nurses can do when patients are at risk of dying alone during a hospitalization. A pilot program, "No One Dies Alone," is described as the program modifications required by the coronavirus pandemic. The centrality of being present with the dying person is discussed, with emphasis on Parse's concept of true presence.


Asunto(s)
Muerte , Relaciones Enfermero-Paciente , /mortalidad , Humanos , Personal de Enfermería en Hospital/organización & administración , Teoría de Enfermería , Pandemias , Cuidado Terminal/organización & administración
4.
Nurs Res ; 70(2): 106-113, 2021.
Artículo en Inglés | MEDLINE | ID: mdl-33630533

RESUMEN

BACKGROUND: Hospitals need to prevent, respond to, and learn from safety risks and events perceived by patients and families, who in turn rely on nurses to respond to and report their safety concerns. OBJECTIVES: The aim of the study was to describe the process by which bedside nurses evaluate and determine the appropriate response to safety concerns expressed by patients or their families. METHODS: A qualitative design was employed. We recruited inpatient bedside nurses in an 811-bed Midwest academic medical center. Nurses provided demographic information and participated in semistructured interviews designed to elicit narratives related to evaluation and response to patient- or family-expressed safety concerns. Data analysis and interpretation were guided by grounded theory. RESULTS: We enrolled 25 nurses representing 22 units. Based on these nurses' experiences, we developed a grounded theory explaining how nurses evaluate a patient or family safety concern. Nurses make sense of the patient's or family's safety concern in order to take action. Achieving this goal requires evaluation of the meaningfulness and reasonableness of the concern, as well as the potential effect of the concern on the patient. Based on this nursing evaluation, nurses respond in ways designed to (a) manage emotions, (b) immediately resolve concerns, (c) involve other team members, and (d) address fear or uncertain grounding in reality. Nurses reported routinely handling safety concerns at the bedside without use of incident reporting. DISCUSSION: Safety requires an interpersonal and evaluative nursing process with actions responsive to patient and family concerns. Safety interventions designed to be used by nurses should be developed with the dynamic, cognitive, sensemaking nature of nurses' routine safety work in mind. Being sensitive to the vulnerability of patients, respecting patient and family input, and understanding the consequences of dismissing patient and family safety concerns are critical to making sense of the situation and taking appropriate action to maintain safety. Measuring patient safety or planning improvement based on patient or family expression of safety concerns would be a difficult undertaking using only standard approaches. A more complex approach incorporating direct patient engagement in data collection is necessary to gain a complete safety picture.


Asunto(s)
Rol de la Enfermera/psicología , Relaciones Enfermero-Paciente , Personal de Enfermería en Hospital/psicología , Seguridad del Paciente/estadística & datos numéricos , Empatía , Familia/psicología , Femenino , Teoría Fundamentada , Humanos , Masculino , Investigación Cualitativa
5.
J Nurs Adm ; 51(3): 123-125, 2021 Mar 01.
Artículo en Inglés | MEDLINE | ID: mdl-33570367

RESUMEN

The recent pandemic has caused many changes in the professional and personal lives of patients, their families, and the nurses who care for them. Something the pandemic could not change is the profound gratitude that patients, families, and others have for the extraordinary compassionate care that nurses have provided.


Asunto(s)
Empatía , Rol de la Enfermera/psicología , Personal de Enfermería en Hospital/psicología , Pandemias , Adulto , Femenino , Humanos , Masculino , Persona de Mediana Edad , Relaciones Enfermero-Paciente , Estados Unidos
6.
Soins Psychiatr ; 42(332): 12-16, 2021 Feb.
Artículo en Francés | MEDLINE | ID: mdl-33602452

RESUMEN

The COVID-19 pandemic raises questions about the current state of our health care system. This particular context has highlighted hospital malaise, questioning the place of everyone, particularly in psychiatry. Being a caregiver raises the notion of commitment, the true foundation of the function of a psychiatric nurse. This term is discussed here, between commitment in politics and commitment in the clinic, inseparable forms which complement each other and grow together. Commitment to bring thought to life and to extend the caregiver's existence in the name of the caregiver-patient relationship.


Asunto(s)
Cuidadores , Enfermería Psiquiátrica , Cuidadores/psicología , Humanos , Relaciones Enfermero-Paciente
7.
Soins Psychiatr ; 42(332): 17-21, 2021 Feb.
Artículo en Francés | MEDLINE | ID: mdl-33602453

RESUMEN

Within the caregiver-patient relationship, the emotional burden and internal psychological tensions are central. If the desire to care leads to an encounter with the patient, a whole professional "growth" is to be built in order to learn how to relate to emotions and affects that accompany care situations. This "step sideways" allows for caring thinking. The avoidance of this acceptance can lead the caregiver to a psychic economy, to an overly framed posture, at the risk of not welcoming the patient's suffering. Finally, the managerial ideology, if present in the hospital today, represents a brake on the capacity to think the clinic.


Asunto(s)
Cuidadores , Relaciones Enfermero-Paciente , Cuidadores/psicología , Emociones , Humanos
8.
Soins Psychiatr ; 42(332): 22-27, 2021 Feb.
Artículo en Francés | MEDLINE | ID: mdl-33602454

RESUMEN

The young psychiatric nurse has to adapt his posture in order to identify the challenges of his profession. The relationship with the subject and the desire to understand the issues must be at the heart of his professional life. What skills should be required to build up oneself? If this work is essentially relational, how can the right professional distance be apprehended? This is based on a commitment, an assumption of responsibility centred on analysis, an understanding of the patient and the ability to motivate him. In this context, the contributions of Carl Rogers, the characteristics of the clinical interview and the techniques favouring communication are valuable tools.


Asunto(s)
Relaciones Enfermero-Paciente , Enfermería Psiquiátrica , Humanos
9.
Soins Psychiatr ; 42(332): 36-39, 2021 Feb.
Artículo en Francés | MEDLINE | ID: mdl-33602457

RESUMEN

The subjective recognition by those involved in care, of people with psychiatric disorders, is not self-evident. Caregivers, in the general sense of the term, often find it difficult to recognise the personal freedom and dignity of psychiatric patients. Care is, however, inseparable from the relationship of trust and the mobilisation of the patient's ability to freely express choices and to participate in decisions concerning him; a central ability in the caregiver-patient relationship. Although the objectives of access to care and protection of the patient's rights are clearly stated, the question of the mental patient's freedom of choice, as well as his inner moral freedom, remains open to question, as does the questioning of these same freedoms among care providers.


Asunto(s)
Trastornos Mentales , Relaciones Enfermero-Paciente , Enfermería Psiquiátrica , Libertad , Humanos , Trastornos Mentales/enfermería , Derechos del Paciente
10.
Nurs Outlook ; 69(2): 136-146, 2021.
Artículo en Inglés | MEDLINE | ID: mdl-33573826

RESUMEN

BACKGROUND: The COVID-19 pandemic highlighted nurses' compassionate presence during stressful conditions. Strategies to reduce workplace stress are needed. PURPOSE: The purpose of this study was to evaluate a stress reduction strategy, an Internet-based Mantram Repetition Program (MRP), for nurses caring for hospitalized Veterans. METHODS: A one group pre-/post-test design was used to assess change in nurses' perceived outcomes after participating in the MRP. A post-test-only design was used to assess hospitalized Veterans' perceptions of nursing presence and satisfaction with care. Qualitative interviews were used to supplement quantitative data. FINDINGS: Patients perceived high levels of presence and satisfaction with care. Post MRP, nurses perceived increased mindfulness, compassion satisfaction, spiritual well-being, and nursing presence. Increased mindfulness was associated with greater compassion satisfaction and less burnout. DISCUSSION: For nurses working on the front lines of patient care, the potential for experiencing stress and burnout is a reality. Participating in a MRP could lessen these effects and facilitate nursing presence.


Asunto(s)
Intervención basada en la Internet , Relaciones Enfermero-Paciente , Personal de Enfermería en Hospital/psicología , Estrés Laboral/prevención & control , Atención Dirigida al Paciente/organización & administración , Terapias Espirituales , Adulto , Anciano , Agotamiento Profesional/prevención & control , Empatía , Femenino , Humanos , Satisfacción en el Trabajo , Masculino , Persona de Mediana Edad , Atención Plena , Investigación en Evaluación de Enfermería , Personal de Enfermería en Hospital/estadística & datos numéricos , Satisfacción del Paciente/estadística & datos numéricos , Investigación Cualitativa , Veteranos/psicología , Adulto Joven
12.
J Nurs Adm ; 51(2): 63-66, 2021 Feb 01.
Artículo en Inglés | MEDLINE | ID: mdl-33449594

RESUMEN

This article explores the experiences and learnings of 2 ambulatory care nurse leaders on the front lines of the Covid-19 pandemic using the theory "navigating through chaos" as a framework.


Asunto(s)
/enfermería , Enfermedad Crítica/enfermería , Liderazgo , Enfermeras Administradoras/psicología , Rol de la Enfermera/psicología , /psicología , Enfermedad Crítica/psicología , Humanos , Satisfacción en el Trabajo , Relaciones Enfermero-Paciente
13.
JAMA ; 325(4): 349-350, 2021 Jan 26.
Artículo en Inglés | MEDLINE | ID: mdl-33496778
14.
Rev Infirm ; 70(267): 31-33, 2021 Jan.
Artículo en Francés | MEDLINE | ID: mdl-33455678

RESUMEN

The occurrence of severe limb trauma is a brutal event for all patients in any context. Many questions quickly arise, with a very broad scope - from the course of the intervention to family and social reintegration. The nurse has an essential role in listening, educating and supporting the patient before and after the operation. In addition to reassurance, she plays a central role in organising the return home and helping the patient to resume socio-professional activities.


Asunto(s)
Extremidades , Reinserción al Trabajo , Participación Social , Heridas y Traumatismos , Extremidades/lesiones , Humanos , Rol de la Enfermera , Relaciones Enfermero-Paciente , Índices de Gravedad del Trauma , Heridas y Traumatismos/enfermería , Heridas y Traumatismos/cirugía
15.
J Am Med Dir Assoc ; 22(1): 199-203, 2021 01.
Artículo en Inglés | MEDLINE | ID: mdl-33321076

RESUMEN

OBJECTIVE: The Coronavirus disease 2019 (COVID-19) pandemic is an unprecedented challenge for nursing homes, where staff have faced rapidly evolving circumstances to care for a vulnerable resident population. Our objective was to document the experiences of these front-line health care professionals during the pandemic. DESIGN: Electronic survey of long-term care staff. This report summarizes qualitative data from open-ended questions for the subset of respondents working in nursing homes. SETTING AND PARTICIPANTS: A total of 152 nursing home staff from 32 states, including direct-care staff and administrators. METHODS: From May 11 through June 4, 2020, we used social media and professional networks to disseminate an electronic survey with closed- and open-ended questions to a convenience sample of long-term care staff. Four investigators identified themes from qualitative responses for staff working in nursing homes. RESULTS: Respondents described ongoing constraints on testing and continued reliance on crisis standards for extended use and reuse of personal protective equipment. Administrators discussed the burden of tracking and implementing sometimes confusing or contradictory guidance from numerous agencies. Direct-care staff expressed fears of infecting themselves and their families, and expressed sincere empathy and concern for their residents. They described experiencing burnout due to increased workloads, staffing shortages, and the emotional burden of caring for residents facing significant isolation, illness, and death. Respondents cited the presence or lack of organizational communication and teamwork as important factors influencing their ability to work under challenging circumstances. They also described the demoralizing impact of negative media coverage of nursing homes, contrasting this with the heroic public recognition given to hospital staff. CONCLUSIONS AND IMPLICATIONS: Nursing home staff described working under complex and stressful circumstances during the COVID-19 pandemic. These challenges have added significant burden to an already strained and vulnerable workforce and are likely to contribute to increased burnout, turnover, and staff shortages in the long term.


Asunto(s)
Agotamiento Profesional/psicología , Rol de la Enfermera , Relaciones Enfermero-Paciente , Casas de Salud/organización & administración , Personal de Enfermería/psicología , /epidemiología , Femenino , Humanos , Transmisión de Enfermedad Infecciosa de Paciente a Profesional/prevención & control , Masculino , Equipo de Protección Personal/estadística & datos numéricos , Reorganización del Personal
16.
Nurse Educ Pract ; 50: 102954, 2021 Jan.
Artículo en Inglés | MEDLINE | ID: mdl-33360788

RESUMEN

The aim of the study is to explore how nursing students talks about their notions on interactions in the relationship between nurse and patient. Empirical data has been obtained from 22 students in their first semester of the Swedish undergraduate nursing programme, applying thematic, individual interviews and using qualitative content analyses. The most significant finding is that although the students had none or limited pre-understanding of caring and the interaction between nurse and patient they were aware of the pre-supposes for establishing such an interplay, articulated in a desire to find out how to build an authentic and trustful caring relationship. Empirical data also show that the students, in the stage of beginners, were trying to identify and relate to basic concepts within caring science. The restricted understanding could then be understood as a matter of the students not being able to express more than they had words for. The results provide new insights into the interactions in the nurse-patient relationship, seen from the perspective of beginner students. These insights could be useful, for lecturers and clinical supervisors, who play a paramount role in the development of each student's acquisition of theoretical and practical knowledge.


Asunto(s)
Bachillerato en Enfermería , Relaciones Enfermero-Paciente , Estudiantes de Enfermería , Humanos , Suecia
17.
Rev. cienc. cuidad ; 18(1): 9-19, 2021.
Artículo en Español | LILACS, BDENF - Enfermería, COLNAL | ID: biblio-1147581

RESUMEN

Objetivo: Explorar la construcción de percepciones sobre la Inte-rrupción Voluntaria del Embarazo en estudiantes de pregrado en En-fermería de la Universidad Surcolombiana. Materiales y métodos:Estudio cualitativo, bajo el método de la teoría fundamentada. Se aplicó entrevista semiestructurada a un grupo focal de 10 estudian-tes, se transcribió en procesador de palabras y se codificó con ayuda de Atlas Ti versión 6. Resultados: La actual percepción del estu-diante sobre la Interrupción Voluntaria del Embarazo está permeada no solamente por los conceptos adquiridos sobre el tema durante la formación universitaria, sino también por aquellos adquiridos previamente al pregrado. Sin embargo, la divergencia de opiniones poco fundamentadas derivadas del contexto social, familiar, religio-so y académico influyeron en que el enfermero en formación sienta conflicto interno para sentar postura personal frente al tema, siendo susceptible muchas veces a la influencia de ideas y posturas sobre la Interrupción Voluntaria del Embarazo impartidas vehementemente por algunos docentes. Conclusión: La construcción de percepciones en los estudiantes constituye el resultado de la conjugación del con-texto en el que viven y se desarrollan previo al ingreso universitario y del contexto académico ligado a la formación de pregrado, en don-de los estrechos conocimientos recibidos con diversidad de posturas y de enfoques generan fricción de ideas e influyen negativamente en el desempeño del futuro profesional, caracterizado por inseguridad, incertidumbre y preocupación, profundizando las barreras para que la mujer acceda al libre derecho de la Interrupción Voluntaria del Embarazo.


Objective: To explore the construction of perceptions about Voluntary Interruption of Pregnan-cy in undergraduate nursing students at Universidad Surcolombiana. Materials and methods:Qualitative study, under the grounded theory method. A semi-structured interview was applied to a focus group of 10 students, transcribed in a word processor and coded with the help of ATLAS ti version 6. Results: The current perception of the student about Voluntary Interruption of Pregnan-cy is permeated not only by the concepts acquired on the subject during university education but also, by those acquired prior to undergraduate studies. However, the divergence of unsubstantiat-ed opinions derived from the social, family, religious, and academic context, influenced the nurse in training to feel internal conflict to establish a personal position on the subject, making it often susceptible to the influence of ideas and positions on the Voluntary Interruption of Pregnancy ve-hemently taught by some teachers. Conclusion: The construction of perceptions in students is the result of the conjugation of the context in which they live and develop before entering university, and of the academic context linked to university training; where the narrow knowledge received with a diversity of positions and approaches, generates friction of ideas and negatively influences the performance of the future professional characterized by insecurity, uncertainty and concern, deepening the barriers for women to access free Voluntary Interruption of Pregnancy rights.


Objetivo: Explorar a construção de percepções sobre a interrupção voluntaria da gravidez em estudantes de graduação em enfermagem da Universidade Surcolombiana. Materiais e métodos: estudo qualitativo com metodologia da teoria fundamentada. Aplicou-se entrevista semiestrutu-rada num grupo focal de 10 estudantes, transcreveu-se em processador de palavras e codificou-se usando Atlas Ti versão 6. Resultados: A atual percepção do aluno sobre a interrupção voluntaria da gravidez está influenciada não só por conceitos adquiridos sobre o tema na sua graduação, também da diversidade de opiniões pouco fundamentadas derivadas do seu contexto social, fami-liar, religioso e acadêmico do enfermeiro em formação, gerando uma opinião conflitante perante a situação, sendo suscetível muitas vezes da influencia de ideias e posturas alheias sobre a inte-rrupção voluntaria da gravidez. Conclusão: A construção de percepções nos estudantes constitui o resultado da conjugação do contexto em que vivem e se desenvolvem prévio ao ingresso à faculdade e do contexto acadêmico ligado à graduação, onde os conhecimentos adquiridos com diversas posturas e enfoques geram atrito, influindo negativamente no desenvolvimento do futuro profissional, caracterizado pela insegurança, incerteza e preocupação, piorando os empecilhos para que a mulher tenha acesso livre ao seu direito da interrupção voluntaria da gravidez.


Asunto(s)
Aborto , Aborto Legal , Educación en Enfermería , Relaciones Enfermero-Paciente
18.
Rev. Pesqui. (Univ. Fed. Estado Rio J., Online) ; 13: 34-40, jan.-dez. 2021. ilus
Artículo en Inglés, Portugués | LILACS, BDENF - Enfermería | ID: biblio-1145901

RESUMEN

Objetivo: Conhecer como ocorre a comunicação de notícias difíceis por enfermeiros na atenção básica. Método: pesquisa exploratória, descritiva e de abordagem qualitativa com 15 Enfermeiros de 10 Unidades Básicas de Saúde no sul do país. A coleta de dados foi realizada através de entrevistas semiestruturadas. Os dados foram analisados conforme análise textual discursiva. Resultado: Foram geradas duas categorias: Comunicação como suporte as necessidades do cliente; Comunicação como elemento a suprir a demanda da atenção primária. Conclusão: os enfermeiros adotam alguns aspectos no momento da comunicação de notícia difícil, aspectos esses ancorados, por exemplo, através de empatia, compreensão da realidade do usuário, fala simplificada, privacidade, entre outros, sendo esses essenciais para uma comunicação adequada e humanizada que visa o conforto do usuário nesse momento da comunicação


Objective: To know how the communication of difficult news by nurses in primary care occurs. Method: exploratory, descriptive and qualitative approach with 15 Nurses from 10 Basic Health Units in the south of the country. Data collection was done through semi-structured interviews. Data were analyzed according to discursive textual analysis. Result: two categories were generated: Communication as support the client's needs; Communication as an element to supply the demand for primary care. Conclusion: nurses adopt some aspects at the moment of difficult news communication, aspects that are anchored, for example through empathy, understanding of the user's reality, simplified speech, privacy, among others, being essential for adequate and humanized communication that aims at the comfort of the user in this moment of communication


Objetivo: Conocer cómo ocurre la comunicación de noticias difíciles por enfermeros en la atención básica. Método: investigación exploratoria, descriptiva y de abordaje cualitativo con 15 Enfermeros de 10 Unidades Básicas de Salud en el sur del país. La recolección de datos se realizó a través de entrevistas semiestructuradas. Los datos fueron analizados según el análisis textual discursivo. Resultado: se generaron dos categorías: Comunicación como soporte a las necesidades del cliente; Comunicación como elemento a suplir la demanda de la atención primaria. Conclusión: los enfermeros adoptan algunos aspectos en el momento de la comunicación de noticias difícil, aspectos anclados, por ejemplo, a través de empatía, comprensión de la realidad del usuario, habla simplificada, privacidad, entre otros, siendo estos esenciales para una comunicación adecuada y humanizada que, se refiere a la comodidad del usuario en ese momento de la comunicación


Asunto(s)
Humanos , Masculino , Femenino , Adulto , Persona de Mediana Edad , Comunicación , Empatía , Relaciones Enfermero-Paciente/ética , Atención Primaria de Salud , Comprensión , Investigación Cualitativa , Necesidades y Demandas de Servicios de Salud , Enfermeras y Enfermeros
20.
Am J Nurs ; 121(1): 26-36, 2021 01 01.
Artículo en Inglés | MEDLINE | ID: mdl-33350694

RESUMEN

BACKGROUND: Confusion about what a do-not-resuscitate (DNR) order means, including its misinterpretation as "do not treat," has been extensively documented in the literature. Yet there is a paucity of research concerning nurses' perspectives on DNR orders. PURPOSE AND DESIGN: This mixed-methods study was designed to explore nurses' perspectives on the meaning and interpretation of DNR orders in relation to caring for hospitalized adults with such orders. METHODS: Direct care nurses on three units in a large urban hospital were asked to respond online to a case study by indicating how they would prioritize care based on the patient's DNR designation. These nurses were then invited to participate in open-ended interviews with a nurse researcher. Interviews were audiotaped, transcribed, and analyzed. FINDINGS: A total of 35 nurses responded to the case study survey. The majority chose to prioritize palliative care, despite no indication that any plan of care was in place. Thirteen nurses also completed a one-on-one interview. Analysis of interview data revealed this overarching theme: varying interpretations of DNR orders among nurses were common, resulting in unintended consequences. Participants also reported perceived variances among health care team members, patients, and family members. Such misinterpretations resulted in shifts in care, varying responses to deteriorating status, tension, and differences in role expectations for health care team members. CONCLUSIONS: Nurses have opportunities to address misconceptions about care for patients with DNR orders through practice, education, advocacy and policy, and research.


Asunto(s)
Toma de Decisiones Clínicas , Cuidados Críticos/psicología , Relaciones Enfermero-Paciente , Personal de Enfermería en Hospital/psicología , Órdenes de Resucitación/psicología , Comprensión , Humanos , Rol de la Enfermera/psicología , Encuestas y Cuestionarios , Privación de Tratamiento
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