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1.
Contemp Nurse ; : 1-14, 2020 May 18.
Artigo em Inglês | MEDLINE | ID: mdl-32420794

RESUMO

Aims: To seek consensus on the key characteristics that comprise compassion in a health care setting from pre-defined experts currently researching in the field.Background: Compassion is a vital component in healthcare. There is currently little consensus on how compassion is defined or operationalized in healthcare or research.Design: Modified Delphi Study.Methods: A four phase Delphi process was conducted: (1) Literature review of contemporary research (2) open ended questionnaire (n = 9); (3) content analysis results and synthesis with literature; (4) two round Delphi approach (Round 1 n = 8; Round 2 n = 6).Results: A total of 31 out of 36 statements reached consensus.Conclusions: Experts came to a consensus that compassion was a virtuous response involving awareness of and participation in the suffering of another conveyed through action intended to reduce the suffering observed. Experts placed less emphasis on compassion as sympathetic concern or pity. Compassion does not involve witnessing of the plight of another nor suffering with the patient.

2.
Issues Ment Health Nurs ; : 1-7, 2020 May 18.
Artigo em Inglês | MEDLINE | ID: mdl-32421377

RESUMO

Schizophrenia is a global concern, and, this paper, describes the caring roles of health professionals who are mothers of adult children with schizophrenia. A thematic analysis of data from a doctoral study identified a blending of expertise into an informed care model. Caring roles included: constant carer; coordinator carer; watchful bystander carer; and life coach carer. Previous research has not explored these dual roles. This paper elucidates their responsive approaches and contributions to mothering and caregiving roles. Informed by a fusion of professional and mothering knowledges, their insights into mental health care have been forged by their experiences and is an untapped resource.

3.
Int J Ment Health Nurs ; 29(3): 315-318, 2020 06.
Artigo em Inglês | MEDLINE | ID: mdl-32277578
8.
J Clin Nurs ; 2020 Apr 16.
Artigo em Inglês | MEDLINE | ID: mdl-32298498

RESUMO

AIMS AND OBJECTIVES: To elucidate the experiences of people living with diabetes, residing in an urban diabetogenic area. BACKGROUND: Community-level social and environmental factors have a role to play in the development of type 2 diabetes mellitus. Socio-economic deprivation; high obesity rates; high access to fast foods; and multiculturalism contribute to higher rates of diabetes in some geographical areas. However, there is a lack of research examining people's experiences of living with diabetes in diabetogenic areas. The word diabetogenic implies that the phenomenon of interest contributes to the development of diabetes. DESIGN: Qualitative, geographical case study approach. METHODS: A convenience sample of 17 people living with diabetes in a diabetogenic, low-socio-economic urban area participated in face-to-face, semi-structured interviews. Interviews were audio-recorded, transcribed and analysed thematically. This paper adheres to the COREQ guidelines. FINDINGS: Four main themes were identified: 1. Diabetes fatalism: Inevitability and inertia; 2. Living with Inequity: Literacy and intersectionality; 3. Impersonal services: Intimidating and overwhelming; and, 4. Education in the community: Access and anecdotes. CONCLUSIONS: This study has highlighted the need to develop local solutions for local problems. In this geographical area, solutions need to address generally lower health literacy, how the community would prefer to receive diabetes education and the issue of diabetes fatalism. RELEVANCE TO CLINICAL PRACTICE: Findings from this study have highlighted a need to re-examine how diabetes education is delivered in communities that are already experiencing multiple disadvantages. There are research and practice connotations for how fatalism is positioned for people at high risk of developing diabetes.

9.
Aust Crit Care ; 2020 Apr 04.
Artigo em Inglês | MEDLINE | ID: mdl-32265099

RESUMO

AIM: To examine the previously untested relationship between the level of compassion fatigue (CF) in critical care nurses and the rates of three nurse-sensitive indicators in four critical care units in hospitals in Saudi Arabia. BACKGROUND: CF can manifest in nurses who provide direct, intimate care to patients with different levels of illness including nurses working in specialty areas such as critical care where they care for patients experiencing challenging illnesses. Pressure injuries, patient falls, and medication errors are key nurse-sensitive indicators that identify critical care nurses as the primary causal agent. These indicators also correlate with burnout and poor multidisciplinary team communication, both factors that govern CF. METHODS: A multisite survey was conducted to collate and examine the number of reported pressure injuries, falls, and medication errors over 3 months at four hospitals in two Saudi Arabian cities during 2018 to determine the relationship between the occurrence of these nurse-sensitive indicators and the level of CF in critical care (intensive care unit [ICU]) nurses. A survey of 516 critical care nurses was undertaken; analysis was performed using the Professional Quality of Life Scale, version 5 (ProQol-5), and results were further analysed using Pearson's correlations and three-way analysis of variance. RESULTS: The results of the regression analysis indicated resilience as a predictor explained 66% of the compassion satisfaction (CS) variance (B = 0.318, R2 = 0.436, F(2, 12.495) = 123.013, p < 0.001) and 26% of the burnout (BO) variance (B = 0.152, R2 = 0.067, F(2, 11.500) = 3.279, p < 0.001). In addition, the level of resilience as a predictor explained 15.4% of the secondary traumatic stress (STS) variance (B = 0.063, R2 = 0.024, F(2, 7.758) = 2.785, p = 0.006). Conversely, coping strategies did not predict CS, BO, or STS (p > 0.05) at a statistically significant level. The concurrent measure of CF, BO, and STS found that almost 20% of the critical care nurse participants reported having very low CS, indicating increased potential for the development of CF. In addition, male nurses reported experiencing higher levels of stress and BO than female nurses. This study also found that neither the number of patients being treated nor the number of beds in the care setting affected the rate of the nominated nurse-sensitive indicators. The results for rates of pressure injuries did vary among the hospitals, with the worst performing hospital reporting pressure injury rates of one in every 40 patients and the better performing hospital reporting no cases of pressure injuries after treating more than 100 patients. Patient falls and medication errors were rare occurrences and did not vary between hospitals. SIGNIFICANCE: This study indicates that there is a possible issue contributing to the differential level of care between hospitals. The mode and length of time nurses spend on handover may also reflect communication issues that increase both the rate of nurse-sensitive indicators and the level of CF reported by nurses. Therefore, the implications of this study, in terms of improving nursing practice, occurs in handover to ensure that information on aspects of nonpatient critical care are fully covered, such as time of patient turning to avoid pressure injuries.

10.
Int J Ment Health Nurs ; 29(3): 322-347, 2020 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-32162835

RESUMO

This review was conducted to synthesize and critically appraise the literature on knowledge, attitudes, understanding, perceptions, and expectations of mental health professionals (MHPs) and mental health professional (MHP) students' regarding recovery. A systematic search in Scopus, CINAHL, PsycINFO, Web of Science, Medline, and Embase as well as Google scholar and web-based repositories was conducted. The searches were conducted using a combination of key terms: "mental health professionals", "students", 'knowledge', "understanding", "perception" "attitude", "expectation", "recovery". After screening and quality assessment, the review included 29 studies (18 quantitative, 8 qualitative, and 3 mixed-method studies) published in English, from January 2006 to June 2019, and was analysed systematically using a mixed-method synthesis. The findings revealed that there is increasing evidence (especially among MHPs) of knowledge, attitudes, understanding, perceptions, and expectations regarding recovery. However, there are disparities in how MHPs perceive and understand recovery. While some understood it to mean a personal process, others explained it as a clinical process. In addition, there was limited knowledge among the MHPs and MHP students regarding the nonlinearity nature of the recovery process and expectations regarding recovery. The implications from these findings are the need for more in-service training for MHPs, and examination of the curriculum used to educate MHP students. In particular, they should be sufficiently informed about the nonlinearity nature of the recovery process and how to develop hopeful and realistic expectations for consumers throughout the recovery process. The review was preregistered with PROSPERO (Registration No: CRD42019136543).

12.
J Transcult Nurs ; : 1043659619899999, 2020 Jan 16.
Artigo em Inglês | MEDLINE | ID: mdl-31948353

RESUMO

Introduction: This article outlines the processes used to meaningfully and authentically engage Australian Aboriginal communities in Northern New South Wales, Australia, to develop culturally appropriate stroke health resources. Methodology: Participatory action research using the research topic yarning framework is a collaborative, culturally safe way to uncover vital information and concepts. There were two stages in the participatory action research project: community engagement and evaluation of the processes involved in developing the localised, culturally appropriate health resources. Results: Establishing relationships built on trust, mutual sharing of knowledge, and bringing together the wider community, enabled the health message to be embedded within the community, ensuring the message was culturally appropriate and sustainable. Discussion: The stroke education resource is a tangible outcome and a major achievement; however, the process of authentic engagement to achieve the final product was the ultimate accomplishment.

13.
Nurse Educ Pract ; 42: 102691, 2020 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-31931304

RESUMO

This paper examines pre-registration nursing students' perceptions of the practice of intentional rounding and perceived benefits for nurses and patients. Intentional rounding was developed to ensure nursing staff regularly check on patients to ensure that all care needs are met. It has been linked to a reduction in falls and call bell use, and an increase in patient safety. No previous studies have examined pre-registration nursing students' role in the practice of intentional rounding during clinical placements nor the perceptions of rounding practices, important from a future workforce perspective. A cross-sectional multisite study was undertaken, and pre-registration nursing students completed the Nurses' Perceptions of Patient Rounding Scale between August 2017- June 2018, distributed using online education platforms and email. Strobe reporting guidelines were used to report findings. Participants perceived positive benefits in intentional rounding for nurses and patients. Mixed opinions surrounded the sufficiency of education received around the intervention. Previous nursing experience was linked to opposing opinions of intentional rounding, depending on education levels. Participants had a positive perception of intentional rounding practices overall. Education surrounding intentional rounding needs to be consistent, and introduced before students are expected to actively participate in the practice of rounding on clinical placement.

14.
Nurs Health Sci ; 22(1): 20-27, 2020 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-31670474

RESUMO

Compassion fatigue is known to impact the well-being of nurses and patient safety outcomes. Currently, there is limited academic understanding of the role of demographic factors in contributing to compassion fatigue in critical care nurses. The aim of this study was to examine the relationship between nurse demographic characteristics and the development of compassion fatigue, as indicated by level of burnout and compassion satisfaction in critical care nurses in Saudi Arabia. The cross-sectional study design included administering three surveys to critical care nurses (n = 321) in four Saudi public hospitals to examine the nurse demographic variables in relation to compassion fatigue, the compassion fatigue coping strategies of nurses, and nurse resilience. The results show both demographic and workplace structural elements, such as length of work shift, education level, and nationality, were all significant factors in resilience to compassion fatigue among Saudi critical care nurses, whereas factors of age and sex were not significant. This study concludes that the demographic characteristics of critical care nurses enable the identification of levels of compassion fatigue and compassion satisfaction, and their resilience to the effects of compassion fatigue.

16.
Saudi Med J ; 40(11): 1087-1097, 2019 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-31707404

RESUMO

OBJECTIVES: To provides a critical evaluation of current empirical evidence related to the prevalence, causes and outcomes of compassion fatigue among critical care nurses. Compassion fatigue is characterized the development of emotional, physical, and/or spiritual exhaustion as a result of working with traumatized individuals. METHODS: Data was collected using an integrated review framework via an advanced search of healthcare databases; namely, ProQuest, Science Direct, and CINAHL for research articles on compassion fatigue among nurses in critical care settings. Analysis was performed on the articles which met the inclusion criteria for this review (n=10) to identify the key themes and issues related to the compassion fatigue in critical care situations. Articles were assessed for quality and rigor using the Critical Appraisal Checklist for Analytical Cross-Sectional Studies. The search was limited to research studies undertaken from 2000 to 2018. RESULTS: The main findings to emerge from this integrative review was that the prevalence of compassion fatigue among nurses varied across the range of critical care settings. In terms of the causes and consequences of compassion fatigue, this review found work environment and nurse demographics such as age and years of experience, were predictors of compassion fatigue, and the factors mitigating compassion fatigue affects among critical nurse included leader and administrative support within the clinical setting and the coping strategies employed by the nurses. CONCLUSION: There is inconclusive evidence to identify unequivocal predictors of compassion fatigue among critical nurses. However, it is likely the onset of compassion fatigue among critical care nurses may be reduced with close monitoring of physical and emotional wellbeing in the critical care environment as well as through the provision of education to nurses to assist with the development of coping strategies to avoid compassion fatigue.

17.
Nurse Res ; 2019 Nov 26.
Artigo em Inglês | MEDLINE | ID: mdl-31769257

RESUMO

BACKGROUND: The dissemination of findings is a crucial part of research. There are many forms of dissemination and audiences differ depending on the focus of the dissemination. AIM: To present using a recent experience as an example an overview of the benefits to vulnerable research participants of participating in the dissemination of research, as well as potential issues that may occur. DISCUSSION: There are many benefits to involving research participants in conference presentations. However, it is crucial to provide appropriate support and debriefing, and to put plans in place to ensure they are safe. CONCLUSION: Multifaceted dissemination strategies are needed to meet the various audiences for research. Involving research participants can provide unique perspectives. However, careful planning is required to produce the best possible outcomes. IMPLICATIONS FOR PRACTICE: Researchers preparing to disseminate research findings with research participants in a conference setting can use this article to assist with the recognition of benefits and challenges that may arise.

18.
J Wound Care ; 28(9): 576-584, 2019 Sep 02.
Artigo em Inglês | MEDLINE | ID: mdl-31513500

RESUMO

OBJECTIVE: To determine if meaningful patient characteristics pertaining to pressure ulcers (PU) can be derived from routinely collected community health data. METHODS: A retrospective cohort analysis of records was carried out. To provide a detailed dataset on PU for the community of interest, demographic, general medical and PU data were extracted from mandatory incident reports and audit of electronic and paper medical records. This study is reported in accordance with the RECORD Guidelines from the Equator Network. Adult patients were enrolled from a district nursing service in the target region (n=1085) during 2015. The target region was based on a geographical region bounded by a single postcode district (target region) consisting of 62,000 people of whom approximately 50,000 were adults, 3000 of whom were aged >75 years. RESULTS: The total number of recorded PUs was n=137 in 103 individuals. Data from mandatory incident reports was obtainable for nearly all variables. Electronic and paper medical records were less reliable due to missing data. CONCLUSION: Detailed characteristics of community-dwelling PU patients can be derived from routinely collected data, and provides various forms and levels of information which could feed into different projects. The use of mandatory reporting fields increases the level of reporting and reduces missing data. Data enriched with information from electronic and paper records could inform the addition of variables to mandatory forms to improve characterisation of community dwellers with PUs.

19.
Saudi Med J ; 40(9): 867-878, 2019 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-31522213

RESUMO

OBJECTIVES: To systemically review the evidence concerning the prevalence and reported risk factors of smoking among adolescents in Saudi Arabia. Methods: Following the PRISMA guidelines, studies that examined the prevalence and risk factors of smoking among adolescents in Saudi Arabia were identified through a computerized literature search using the following databases up to March 2018: PubMed, SCOPUS, Web of Science, and BIOSIS. The following search terms were used: smoking OR smok* OR tobacco OR cigar* OR shisha OR shesha OR sheesha AND Saudi Arabia OR KSA. Peer-reviewed articles published within the period from 2007 to 2018 were selected. Studies that reported prevalence data, patterns, and risk factors of smoking among adolescents were included. Extracted data from each study were tabulated, and data were narratively synthesized. RESULTS: Thirty-two studies that reported the prevalence of smoking in the adolescent age group were included in the narrative evidence synthesis. These studies were conducted on secondary school students (n=11), college students (n=14), and an adolescent age group without educational specifications (n=7). According to published reports between 2007 and 2018, the prevalence of tobacco smoking among adolescents in Saudi Arabia ranged from 2.4% to 39.6%. Influence of friends, and family negligence were the most commonly reported risk factors for smoking. Conclusion: The prevalence of smoking is relatively high among adolescents in Saudi Arabia. The social influence of friends, teachers or parents, low academic performance, having spare time, living away from home, and the desire to relieve stress were the most commonly reported risk factors for smoking.


Assuntos
Fumar Tabaco/epidemiologia , Fumar Cachimbo de Água/epidemiologia , Desempenho Acadêmico , Adolescente , Comportamento do Adolescente , Humanos , Motivação , Infuência dos Pares , Prevalência , Religião , Características de Residência , Fatores de Risco , Arábia Saudita/epidemiologia , Fumar/epidemiologia , Fatores de Tempo
20.
Nurse Res ; 27(1): 8-11, 2019 Mar 18.
Artigo em Inglês | MEDLINE | ID: mdl-31468829

RESUMO

BACKGROUND: Storytelling is a contemporary research method increasingly used in qualitative interpretive research. Despite its popularity, there is a paucity of information providing detailed processes for conducting storytelling research that also incorporates a feminist perspective. AIM: To provide a four-stage framework for conducting feminist storytelling research. DISCUSSION: Systematic approaches or frameworks can help researchers conducting feminist storytelling studies. The authors discuss a framework for the sequential process of conducting storytelling research that embraces the tenets of feminist standpoint theory. This four-staged framework consists of the steps taken to prepare for the collection and analysis of data, as well as to disseminate the research's findings, from etic (procedural) and emic (feminist) perspectives. The authors demonstrate the use of the framework by applying it to a study of mothering. CONCLUSION: Use of a purposeful approach to feminist storytelling research may increase its auditability and verification. IMPLICATIONS FOR PRACTICE: The authors anticipate that the framework can be adapted into an effective tool to support researchers interested in conducting feminist storytelling research.


Assuntos
Coleta de Dados/métodos , Feminismo , Narração , Pesquisa em Enfermagem/métodos , Feminino , Humanos , Pesquisa Qualitativa , Projetos de Pesquisa
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