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1.
Rev Infirm ; 69(257): 40-42, 2020 Jan.
Artículo en Francés | MEDLINE | ID: mdl-32146966

RESUMEN

Therapeutic education plays an important role in nursing education in terms of knowledge and skills. Indeed, the support of the chronic patient represents a new challenge for the caregiver and requires a change in his or her posture. Thus, he may have to collaborate with the expert patient, who is now fully recognised as a care partner. Sharing experience with a student from a Parisian nursing training institute, himself an expert patient.


Asunto(s)
Enfermedad Crónica/enfermería , Educación en Enfermería , Relaciones Enfermero-Paciente , Estudiantes de Enfermería/psicología , Humanos
3.
J Nurs Adm ; 50(3): 122-124, 2020 Mar.
Artículo en Inglés | MEDLINE | ID: mdl-32068621

RESUMEN

The International Council of Nurses and the World Health Organization have designated 2020 as the International Year of the Nurse and Midwife. 2020 Is also being celebrated as the 200th anniversary of Florence Nightingale's birth. The DAISY Award, as a global recognition of compassionate, extraordinary nursing care, aligns with both celebrations. DAISY stories from around the world demonstrate that nursing care delivered with compassionate skill is truly global and knows no boundaries!


Asunto(s)
Distinciones y Premios , Partería/normas , Rol de la Enfermera , Enfermería en Salud Pública/normas , Empatía , Salud Global , Humanos , Relaciones Enfermero-Paciente
4.
Enferm. clín. (Ed. impr.) ; 30(1): 42-46, ene.-feb. 2020. graf, tab
Artículo en Español | IBECS | ID: ibc-186283

RESUMEN

Objetivo: Realizar la adaptación transcultural de la escala Caring Nurse-Patient Interactions (CNPI-70 ítems) de evaluación del nivel de competencia en la relación enfermera-paciente. Método: Adaptación cultural mediante el método de traducción y retrotraducción de la herramienta CNPI, y consenso por panel de expertos para la determinación de la validez de aspecto y contenido. Resultados: Se llevó a cabo el proceso de traducción y adaptación cultural, y el panel de expertos consensuó la versión final del cuestionario traducido al español. Conclusiones: Esta investigación aporta una versión traducida y adaptada de la escala CNPI en español, que posee validez de aspecto y de contenido. Futuros estudios deberán evaluar la consistencia interna, validez de criterio y validez de constructo del instrumento


Objective: Cross-cultural adaptation into Spanish of the Caring Nurse-Patient Interactions (CNPI - 70 items) for assessing nurse-patient relationship competence level. Method: Cross-cultural adaptation using translation and back-translation method of the CNPI, and consensus by panel of experts to determine the face and content validity. Results: The cross-cultural translation and adjustment procedure was used, and a panel of experts agreed on the final Spanish version of the scale. Conclusions: This research study provides a Spanish version of the CNPI, which has appearance and content validity. The internal consistency, criteria validity, and construct validity should be evaluated in future research studies


Asunto(s)
Humanos , Enfermería Transcultural/métodos , Asistencia Sanitaria Culturalmente Competente , Relaciones Enfermero-Paciente , Comparación Transcultural , Traducción , Psicometría , Autoevaluación , Encuestas y Cuestionarios
5.
Br J Nurs ; 29(3): S18-S24, 2020 Feb 13.
Artículo en Inglés | MEDLINE | ID: mdl-32053451

RESUMEN

BACKGROUND: Patients with haematological cancers are surviving longer due to increasingly effective treatments. Many patients continue to need support and advice after treatment ends. AIMS: To review the support needs of patients after treatment for haematological cancer, in order to establish nursing measures for supporting them. Methods: A literature review and thematic analysis of six primary research articles. FINDINGS: Three themes were identified: a sense of abandonment, education about late effects, and becoming a survivor. CONCLUSION: Understanding an individual's support needs after treatment for haematological cancer enables nurses to offer sensitive, individualised care to patients. A tailored survivorship plan, led by a specialist nurse, helps to meet the ongoing holistic needs of haematological cancer patients.


Asunto(s)
Supervivientes de Cáncer/psicología , Necesidades y Demandas de Servicios de Salud , Neoplasias Hematológicas/enfermería , Relaciones Enfermero-Paciente , Apoyo Social , Humanos
6.
Nursing ; 50(2): 61-63, 2020 Feb.
Artículo en Inglés | MEDLINE | ID: mdl-31977808

RESUMEN

Cultural competence is essential for establishing rapport with patients and for assessing patients' needs. This article discusses how self-awareness can help nurses provide culturally competent care to patients and their families.


Asunto(s)
Asistencia Sanitaria Culturalmente Competente , Relaciones Enfermero-Paciente , Enfermeras y Enfermeros/psicología , Autoimagen , Humanos
7.
BMC Public Health ; 20(1): 16, 2020 Jan 07.
Artículo en Inglés | MEDLINE | ID: mdl-31910847

RESUMEN

BACKGROUND: The work of health professionals is characterized by a high demand for psychological and emotional resources and high levels of stress. Therefore, the promotion of commitment and job well-being through strategies such as increased mindfulness, is important among nursing workers. Although mindfulness has shown positive effects in the health field, few studies have explored the mechanisms and processes underlying these results. We investigated the mediating role of empathy (cognitive/affective) in the effect of mindfulness on the dimensions of engagement in nursing professionals. METHODS: Sample was comprised of 1268 Spanish nurses between 22 and 62 years old, that completed the Utrecht Labor Engagement Scale and the adapted versions of Mindful Attention Awareness Scale and Basic Empathy Scale. The relationship between variables to be included in the regression analyses, bivariate correlations were carried out, and the descriptive statistics of these variables were also found. To estimate the mediation model was used, in this case for multiple mediation effects. RESULTS: Mindfulness is found to affect the Vigor and Dedication factors of engagement through cognitive empathy. While for the Absorption factor, the affective component of empathy also exerts a mediating role, although weaker than cognitive empathy. Cognitive empathy, as an individual factor, was shown to have a mediating effect between mindfulness and the factors of engagement in healthcare workers. CONCLUSIONS: The level of mindfulness influences engagement of nursing professionals positively, and this result is mediated mainly by cognitive empathy. Both mindfulness and empathy are modifiable individual factors, so their intervention by designing and implementing specific programs, can increase the commitment and wellbeing of professionals generating benefits to workers and to their patients.


Asunto(s)
Cognición , Empatía , Atención Plena , Relaciones Enfermero-Paciente , Atención de Enfermería/psicología , Personal de Enfermería/psicología , Adulto , Femenino , Humanos , Masculino , Persona de Mediana Edad , España , Adulto Joven
9.
Clin Nurse Spec ; 34(1): 30-37, 2020.
Artículo en Inglés | MEDLINE | ID: mdl-31789961

RESUMEN

PURPOSE: This study was conducted to determine the effect of training that is given in accordance with the Comfort Theory to hemodialysis patients. METHODS: This study was conducted as a randomized, controlled, and experimental trial between October 10, 2018, and February 27, 2019. The sample of the study consisted of 68 voluntary and literate individuals (34 in the experimental group and 34 in the control group). RESULTS: When the comfort conditions of patients in the experimental and control groups were compared, it was determined that there was no significant difference in the mean total score on the General Comfort Questionnaire, mean subdimension scores, and mean comfort level scores in the first interview. In the last interview, it was determined that the differences in the mean total score on the General Comfort Questionnaire; the mean scores on the physical, psychospiritual, and sociocultural comfort subdimension; and the mean score of the comfort levels between the experimental and control groups were statistically significant. CONCLUSION: It was observed that the training that is given in accordance with the Comfort Theory of Kolcaba to the hemodialysis patients increased the mean scores of patients' comfort.


Asunto(s)
Relaciones Enfermero-Paciente , Comodidad del Paciente/estadística & datos numéricos , Educación del Paciente como Asunto , Diálisis Renal/enfermería , Adulto , Anciano , Femenino , Humanos , Masculino , Persona de Mediana Edad , Investigación en Evaluación de Enfermería , Teoría Psicológica , Encuestas y Cuestionarios
10.
Rev. cienc. cuidad ; 17(1): 71-84, 2020.
Artículo en Español | LILACS, COLNAL | ID: biblio-1051726

RESUMEN

Objetivo: Describir la relación entre el personal de enfermería y las gestantes durante el trabajo de parto, desde la perspectiva de la mujer. Métodos: Estudio descriptivo y transversal. Se incluyó el 92,4% del total de las gestantes en trabajo de parto atendidas en una institución de salud de la ciudad de Medellín, entre los meses de junio y julio de 2017. Se aplicó un cuestionario ad hoc, diseñado a la luz de las fases de la relación interpersonal enfermera paciente, descritas por Hildegard Peplau, el cual fue sometido a una prueba piloto y concepto de cinco expertos. Se aplicaron pruebas chi-cuadrado y se construyó un modelo de regresión logística. Resultados: Participaron 540 mujeres con edad promedio de 25,6 años (DE 6,0). El 91,9 % valoran como positiva su relación con la enfermera. Se encontró que, a mayor edad de la gestante, mejor comunicación con el personal de enfermería (X2 = 15,9 p= 0,003) y que las madres con parto previo tuvieron una mejor experiencia frente al cuidado (X2 = 4,28 p= 0,038). La regresión logística mostró (90% de confianza) que una relación positiva con el personal de enfermería en el parto está relacionada con: la edad (OR=0,9, IC = 0,867 ­ 0,989), aclarar las dudas frente al parto (OR=18,0, IC = 6,641 ­ 48,938), evitar el frío (OR=6,1, IC =2,347 ­ 16,3) y la ayuda para tranquilizarse (OR=4,1, IC = 1,45 ­ 11,714). Conclusión: Durante el cuidado de la gestante en trabajo de parto, es importante aclarar las dudas, brindar medidas de confort y generar estrategias para tranquilizarla, así como para establecer una relación interpersonal positiva en la experiencia del trabajo de parto


Objective: Describe the relationship between the nursing personnel and the expecting mothers during labor, from the perspective of women. Methods: Descriptive and crosssectional study. From the total expecting mothers, 92,4% were included during labor and were attended in a healthcare institution in the city of Medellin between the months or June and July, 2017. A type ad hoc questionnaire was applied, designed in light of the phases of the interpersonal relationship between the nurse and patient, described by Hildegard Peplau, which was subject to a pilot experiment and concept of five experts. Chisquared tests were applied and a model or logistic regression was built. Results: 540 women participated with an average age of 25,6 years (SD 6,0). 91,9% rate as positive their relationship with the nurse. It was found that the older the expecting mother is, the better the communication with the nursing personnel (X2 = 15,9 p= 0,003) and also that mothers with previous births had a better experience of care (X2 = 4,28 p= 0,038). The logistic regression showed (90% reliability) that a positive relationship with the nursing personnel during birth is related to: age (OR=0,9, IC = 0,867 ­ 0,989), clarifying questions about giving birth (OR=18,0, IC = 6,641 ­ 48,938), avoid coldness (OR=6,1, IC =2,347 ­ 16,3) and help the mother to be calm (OR=4,1, IC = 1,45 ­ 11,714). Conclusion: During the care for the birth of the expecting mother, it is important to clarify questions, provide comfort measures and generate strategies to calm the mother, as well as to establish a positive interpersonal relationship during the birth experience.


Objetivo: Descrever a relação entre o pessoal de enfermagem e as gestantes durante o trabalho de parto, desde a perspectiva da grávida. Métodos: Estudo descritivo, transversal. Estudaram-se o 92.4% das gestantes em trabalho de parto atendidas numa instituição de saúde da cidade de Medellín, entre os meses de junho e julho de 2017. Aplicou-se o questionário Ad Hoc, desenhado à luz das fases do relacionamento interpessoal enfermeira-paciente, descritas por Hildegard Peplau, submetido a prova piloto e conceito de cinco expertos. Aplicaram-se provas de Chi-quadrado e construiu-se um modelo de regressão logística. Resultados: Participaram 540 mulheres com idade média de 25.6 anos (DE6.0). O 91.9% considerou positivo seu relacionamento com a enfermeira. Encontrou-se que a maior idade a gestante comunicase melhor com o pessoal de enfermagem (X2 = 15,9 p= 0,003) e que as gestantes com gravidez previa tiveram melhor experiência frente ao cuidado (X2 = 4,28 p= 0,038). A regressão logística mostrou (90% de confiança) que o relacionamento positivo com a enfermeira no trabalho de parto esteve relacionado com as variáveis: idade (OR=0,9, IC = 0,867 ­ 0,989), esclarecer dúvidas do parto (OR=18,0, IC = 6,641 ­ 48,938), evitar a friagem (OR=6,1, IC =2,347 ­ 16,3) e a ajuda para tranquilizar-se (OR=4,1, IC = 1,45 ­ 11,714). Conclusão: Durante o cuidado da gestante no trabalho de parto, é importante esclarecer dúvidas, prestar medidas de conforto, gerar estratégias para tranquiliza-la, assim como estabelecer um relacionamento interpessoal positivo na experiência do trabalho de parto.


Asunto(s)
Relaciones Enfermero-Paciente , Trabajo de Parto , Atención de Enfermería
11.
J Clin Nurs ; 29(1-2): 139-151, 2020 Jan.
Artículo en Inglés | MEDLINE | ID: mdl-31535417

RESUMEN

AIMS AND OBJECTIVES: To explore palliative care nurses' work experiences caring for patients at the end of life in private homes. BACKGROUND: The home continues to be a desired place for care and dying; however, professional competence is needed and specialist palliative care nurses play a crucial role, often highly valued by patients and their family members. The private home as a physical work environment for nurses is explored, with both positive and negative aspects being described. To ensure future high-quality end-of-life care, there is a need to describe how palliative care nurses work in private homes. DESIGN: Interpretative descriptive. METHODS: Participant-generated photographs were used in conjunction with follow-up interviews with ten palliative home care nurses. Interpretive description was used for analysis. This study follows the COREQ checklist. RESULTS: The analysis process resulted in four constructed themes, presented here as strategies used by palliative care nurses: adjusting interactions and actions depending on the environment when entering each unique private home; supporting patients and family members in finding a balance between self-care, independence and safe care; guiding patients and family members towards and through environmental changes supporting end-of-life care at home; and using transitions between homes to reflect, recuperate and prepare. CONCLUSION: Working as a palliative care nurse in private homes clearly requires a variety of skills and competences, here operationalised in different strategies used to promote high-quality care. RELEVANCE TO CLINICAL PRACTICE: Palliative care nurses' considerations, insights and competence when performing end-of-life care in the diverse environments of private homes can contribute to the development of clinical practice. Knowledge about strategies can be used in nursing practice during everyday work, in nursing education and in the organisation of care, and can inform policy to ensure future high-quality palliative home care.


Asunto(s)
Enfermería de Cuidados Paliativos al Final de la Vida/organización & administración , Cuidados Paliativos/métodos , Fotograbar , Cuidado Terminal/métodos , Adulto , Femenino , Servicios de Atención de Salud a Domicilio/organización & administración , Humanos , Masculino , Relaciones Enfermero-Paciente , Investigación Cualitativa
12.
Br J Nurs ; 28(22): 1450-1454, 2019 Dec 12.
Artículo en Inglés | MEDLINE | ID: mdl-31835933

RESUMEN

The aim of this quality improvement project was to improve patients' knowledge about their vitamin B12 deficiency by developing an information leaflet and engaging nursing staff in providing this educational tool to patients with the condition. Following two 'plan, do, study, act' cycles to test and improve implementation of the leaflet, the nursing team met the goal of 100% compliance with providing educational information to patients. An increase in patient knowledge following provision of the leaflet was predicted, and achieved.


Asunto(s)
Comunicación , Relaciones Enfermero-Paciente , Educación del Paciente como Asunto/métodos , Deficiencia de Vitamina B 12/enfermería , Humanos , Folletos , Mejoramiento de la Calidad
13.
Emergencias (Sant Vicenç dels Horts) ; 31(6): 385-390, dic. 2019. tab, graf
Artículo en Español | IBECS | ID: ibc-185135

RESUMEN

Objetivos. El tiempo es un factor clave en el tratamiento y pronóstico del ictus. Nuestro centro ha implementado un protocolo de Actuación Rápida Puerta Aguja (ARPA) para optimizar los tiempos de reperfusión. Este protocolo intrahospitalario consiste en tratar a los pacientes derivados por código ictus (CI) directamente en el escáner o en la sala de angiografía movilizando al equipo de ictus. Los objetivos son evaluar el impacto del protocolo ARPA en los tiempos de reperfusión, y valorar la viabilidad y seguridad de incorporar un enfermero de la unidad de ictus (UI) al equipo de ictus para la asistencia a pacientes CI, así como la satisfacción de los profesionales. Método. Estudio descriptivo de pacientes atendidos en el circuito CI entre marzo 2015 y marzo 2018. Se compararon con el periodo previo entre febrero 2014 y febrero 2015. Resultados. Se atendieron 903 pacientes con el protocolo ARPA y recibieron tratamiento de reperfusión 502 pacientes (55,6%). La mediana de tiempo puerta-aguja para fibrinolisis fue de 24 (18-33) minutos y puerta-punción para trombectomía 39 (20-75) minutos, ambos inferiores (p < 0,001) al periodo anterior, que tuvo unos tiempos de 43 (31-66) y 93 (60-150) minutos, respectivamente. El enfermero atendió los CI durante 25 (20-32) minutos, y no se encontraron problemas graves de seguridad o viabilidad. Veinte profesionales (95%) refirieron que el protocolo ARPA aumentaba su carga de trabajo pero consideraron que se debía seguir aplicando. Conclusiones. El tratamiento de pacientes CI directamente en el escáner o en la sala de angiografía incorporando un enfermero de la UI reduce, de forma segura, los tiempos de reperfusión


Background and objectives. The timing of treatment is a key prognostic factor in stroke. Our hospital implemented a rapid-action time-to-intervention protocol to optimize reperfusion times. The protocol consisted of direct transfer of stroke-code patients to the scanner or angiosuite and mobilization of the stroke team. Our aim was to assess the impact of the protocol on times to reperfusion. We also sought to evaluate the feasibility and safety of including a stroke-team nurse and assess staff satisfaction with the protocol. Methods. Descriptive study of patients attended by the hospital stroke team between March 2015 and March 2018. Outcomes were compared to those for the previous period (February 2014 to February 2015). Results. Nine hundred three patients were attended under the rapid-action protocol; 502 of them (55.6%) underwent reperfusion. The median (interquartile range) door-to-needle or groin access times were 24 (18-33) minutes for fibrinolysis and 39 (20-75) minutes for thrombectomy. Both times were significantly shorter than in the earlier period (43 [31-66] and 93 [60-150] minutes, respectively; P<.001). Median duration of nurse attendance was 25 (20-32) minutes during the implementation period, and no problems of feasibility or safety appeared during nurse attendance. Twenty staff members (95%) reported that the rapid-action protocol increased their workload but they felt it warranted continued application. Conclusion. Direct transfer of stroke patients for scanning or to the angiography suite, with nurse attendance, safely reduced reperfusion times


Asunto(s)
Humanos , Masculino , Persona de Mediana Edad , Anciano , Anciano de 80 o más Años , Factores de Tiempo , Accidente Cerebrovascular/diagnóstico , Reperfusión/métodos , Protocolos Clínicos , Atención de Enfermería , Estudios Transversales , Encuestas y Cuestionarios , Relaciones Enfermero-Paciente , Monitorización Hemodinámica , Trombectomía , Fibrinólisis , Accidente Cerebrovascular/clasificación , Personal de Enfermería/estadística & datos numéricos
14.
Rev. enferm. UERJ ; 27: e38523, jan.-dez. 2019.
Artículo en Portugués | LILACS, BDENF - Enfermería | ID: biblio-1005290

RESUMEN

Objetivo: analisar o preparo de alta de famílias no alojamento conjunto quanto aos cuidados domiciliares dos recém-nascidos. Método: pesquisa qualitativa, desenvolvida através de Dinâmicas de Criatividade e Sensibilidade Corpo Saber, do Método Criativo Sensível, junto a 17 participantes, entre puérperas e familiares, em um hospital municipal da baixada litorânea do Rio de Janeiro, entre 2017 e 2018, cujos dados foram submetidos à análise temática. Aprovado por Comitê de Ética em Pesquisa. Resultados: o preparo de alta abarca orientações principalmente sobre aleitamento materno e manejo do coto umbilical, mas incluem conteúdos sobre banho, posições confortáveis e vacinas. Enfermeiras assumem o papel social de educadoras, através de uma prática educativa pontual baseada na transmissão de informações e na demonstração do cuidado do recém-nascido. Conclusão: existem lacunas no preparo de alta quanto às orientações essenciais para o cuidado domiciliar do recém-nascido com segurança e qualidade, ademais, é preciso buscar abordagens pedagógicas dialógicas que partam da realidade das famílias.


Objective: to examine preparations for discharge of families in the rooming-in facility as regards home care for newborns. Method: this qualitative study research, conducted through Body Knowledge Creativity and Sensitivity Dynamics, as part of the Sensitive Creative Method, in 2017 and 2018, at a municipal hospital in the Rio de Janeiro coastal lowlands, with 17 participants, including puerperas and family members The resulting data were treated by thematic analysis. The study was approved by the research ethics committee. Results: preparation for discharge includes guidance mainly on breastfeeding and management of the umbilical stump, but also bathing, comfortable positions and vaccines. Nurses perform the social role of educators by circumstantial educational actions basically to convey information and demonstrate care for the newborn. Conclusion: in the preparation for discharge, there were gaps in essential guidance on safe, quality home care for newborns, and dialogical pedagogical approaches, taking the families' realities as their point of departure, should be encountered.


Objetivo: analizar la preparación de alta de familias en el alojamiento conjunto respecto a los cuidados domiciliarios de los neonatos. Método: investigación cualitativa, desarrollada a través de Dinámicas de Creatividad y Sensibilidad Cuerpo Saber, del Método Creativo Sensible, junto a 17 participantes, entre puérperas y familiares, en un hospital municipal de la costa de Río de Janeiro, entre 2017 y 2018, cuyos datos fueron sometidos al análisis temático. Aprobado por el Comité de Ética en Investigación. Resultados: la preparación de alta abarca orientaciones principalmente sobre lactancia materna y manejo del cordón umbilical, pero incluyen contenidos sobre baño, posiciones confortables y vacunas. Enfermeras asumen el papel social de educadoras, a través de una práctica educativa puntual basada en la transmisión de informaciones y en la demostración del cuidado del neonato. Conclusión: existen deficiencias en la preparación de alta en cuanto a las orientaciones esenciales para el cuidado domiciliar del neonato con seguridad y calidad; además, es necesario buscar enfoques pedagógicos dialógicos que partan de la realidad de las familias.


Asunto(s)
Humanos , Recién Nacido , Alta del Paciente , Recién Nacido , Educación en Salud , Enfermería , Alojamiento Conjunto , Investigación Cualitativa , Atención a la Salud , Relaciones Enfermero-Paciente
15.
Rev. enferm. UERJ ; 27: e34262, jan.-dez. 2019.
Artículo en Portugués | LILACS, BDENF - Enfermería | ID: biblio-1005414

RESUMEN

Objetivo: descrever e analisar o cuidado às lésbicas, por enfermeiras e médicos, no campo da saúde sexual e reprodutiva. Método: pesquisa descritiva, qualitativa. Participaram do estudo 24 enfermeiras e 21 médicos atuantes na atenção primária, no município do Rio de Janeiro. Pesquisa aprovada por Comitê de Ética em Pesquisa. Os dados foram coletados em 2014, por meio da entrevista semiestruturada. Desenvolveu-se análise de conteúdo temático-categorial. Resultados: os esquemas de percepção e apreciação de enfermeiras e médicos sobre as lésbicas apresentam um conteúdo fortemente normativo e os profissionais apresentam defasagem de conhecimento, inabilidade de comunicação e omissão em relação às demandas de saúde dessas mulheres. Conclusão: o cuidado às lésbicas é permeado por rotinas heteronormativas e a omissão de enfermeiras e médicos frente às demandas de saúde de lésbicas opera como uma violência simbólica, sendo condicionante do menor acesso à saúde.


Objective: to describe and analyze care by nurses and physicians for lesbians' sexual and reproductive health. Method: in this qualitative, descriptive study, data were collected in 2014, by semi-structured interviews of 24 nurses and 21 physicians working in primary care in Rio de Janeiro city. Thematic category content analysis was applied. The study was approved by the research ethics committee. Results: nurses' and doctors' perceptions and understandings of lesbians are strongly normative in content and personnel display knowledge deficits, inability to communicate and omission in relation to these women's health demands. Conclusion: care for lesbians is permeated by heteronormative routines, while nurses' and physicians' omissions in response to lesbian health demands operates as symbolic violence, and is a condition in their more restricted access to health.


Objetivo: describir y analizar el cuidado a las lesbianas, por parte de enfermeras y médicos, en el campo de la salud sexual y reproductiva. Método: investigación descriptiva, cualitativa. Participaron del estudio 24 enfermeras y 21 médicos que trabajan en la atención primaria, en el municipio de Río de Janeiro. Investigación aprobada por el Comité de Ética en Investigación. Los datos fueron recolectados en 2014, a través de la entrevista semiestructurada. Se desarrolló el análisis de contenido temáticocategorial. Resultados: los esquemas de percepción y apreciación de enfermeras y médicos sobre las lesbianas presentan un contenido fuertemente normativo y los profesionales presentan desfase de conocimiento, inhabilidad de comunicación y omisión en relación a las demandas de salud de esas mujeres. Conclusión: el cuidado a las lesbianas se hace a través de rutinas heteronormativas y la omisión de enfermeras y médicos ante las demandas de salud de lesbianas se muestra como una violencia simbólica y limita el acceso a la salud.


Asunto(s)
Humanos , Femenino , Violencia , Enfermedades de Transmisión Sexual , Enfermedades de Transmisión Sexual/prevención & control , Salud Sexual y Reproductiva , Género y Salud , Minorías Sexuales y de Género , Mujeres , Análisis Cualitativo , Epidemiología Descriptiva , Relaciones Enfermero-Paciente , Atención de Enfermería
17.
Nurs Res ; 68(6): 439-444, 2019.
Artículo en Inglés | MEDLINE | ID: mdl-31693549

RESUMEN

BACKGROUND: Nursing presence has been developed as a distinct concept with identifiable behaviors but remains only partially defined as a quantifiable construct. OBJECTIVES: This study asked if the Presence of Nursing Scale (PONS) is a reliable and valid instrument to measure nursing presence from the patient's perspective. METHODS: A convenience sample of 75 adult acute care inpatients were verbally administered the 25-item PONS considering the registered nurse taking care of them on the day of data collection. Open-ended questions elicited the patients' explanations of their ratings. They also rated their overall satisfaction with the nursing care provided by the subject nurse using a 5-point scale. RESULTS: The mean PONS score was 104.5 (SD = 17.26) on the 25-125 scale. Instrument reliability reported as a Cronbach's alpha coefficient of .95 was .94 in this study. Instrument validity was tested correlating PONS scores to the satisfaction rating. The Spearman's rho correlation was large and statistically significant, r (73) = .708. The higher the PONS score, the more satisfied the patient was with care from that nurse. Nineteen narratives selected from the lower quartile PONS scores (PONS < 99) and 11 from the upper quartile (PONS > 116) were thematically analyzed. Lower PONS scores corresponded with themes of patients being objectified as the work of the nurse without a respectful and caring nurse-patient relationship. Higher PONS scores coincided with patients' perceptions of enhanced nurse-patient rapport, feelings of better coping, and decreased anxiety. DISCUSSION: These results demonstrate reliability and validity of the PONS and add to the body of evidence about nurse behaviors exhibited in the nurse-patient relationship, which influence patients' feelings of being cared for and satisfied with nursing care. These findings may be useful in the development of educational materials aimed at the advancement of nursing presence competency.


Asunto(s)
Relaciones Enfermero-Paciente , Satisfacción del Paciente , Adulto , Femenino , Humanos , Masculino , Persona de Mediana Edad , Indicadores de Calidad de la Atención de Salud , Reproducibilidad de los Resultados , Encuestas y Cuestionarios
18.
BMC Health Serv Res ; 19(1): 814, 2019 Nov 08.
Artículo en Inglés | MEDLINE | ID: mdl-31703680

RESUMEN

BACKGROUND: Patients with type 2 diabetes mellitus (T2DM) receiving primary care regularly visit their practice nurses (PNs). By actively participating during medical consultations, patients can better manage their disease, improving clinical outcomes and their quality of life. However, many patients with T2DM do not actively participate during medical consultations. To understand the factors affecting engagement of patients with T2DM, this study aimed to identify factors that help or hinder them from actively participating in consultations with their primary care PNs. METHODS: Two semi-structured focus groups and 12 semi-structured individual interviews were conducted with patients with T2DM (n = 20) who were undergoing treatment by primary care PNs. All interviews were transcribed verbatim and analyzed using a two-step approach derived from the context-mapping framework. RESULTS: Four factors were found to help encourage patients to actively participate in their consultation: developing trusting relationships with their PNs, having enough time in the appointment, deliberately preparing for consultations, and allowing for the presence of a spouse. Conversely, four factors were found to hinder patients from participating during consultations: lacking the need or motivation to participate, readjusting to a new PN, forgetting to ask questions, and ineffectively expressing their thoughts. CONCLUSION: Patients lacked the skills necessary to adequately prepare for a consultation and achieve an active role. In addition, patients' keen involvement appeared to benefit from a trusting relationship with their PNs. When active participation is impeded by barriers such as a lack of patient's skills, facilitators should be introduced at an early stage. TRIAL REGISTRATION: Current Controlled Trials NTR4693 (July 16, 2014).


Asunto(s)
Diabetes Mellitus Tipo 2/enfermería , Relaciones Enfermero-Paciente , Participación del Paciente/psicología , Diabetes Mellitus Tipo 2/psicología , Femenino , Conocimientos, Actitudes y Práctica en Salud , Humanos , Masculino , Persona de Mediana Edad , Motivación , Enfermeras Practicantes , Enfermería de Atención Primaria/psicología , Investigación Cualitativa , Calidad de Vida , Derivación y Consulta
20.
Nursing ; 49(12): 42-49, 2019 Dec.
Artículo en Inglés | MEDLINE | ID: mdl-31764873

RESUMEN

Immunization is crucial to maintaining public health. This article addresses the benefits of childhood vaccinations and educates parents on the myths surrounding possible adverse reactions.


Asunto(s)
Seguridad , Vacunas , Niño , Humanos , Lactante , Relaciones Enfermero-Paciente , Padres/educación , Padres/psicología , Salud Pública , Medición de Riesgo , Vacunas/efectos adversos
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