Moving forwards to patient-centred care for patients with ventricular assist devices: A mixed methods study of nurses' perspectives.

OBJECTIVES: To identify nurses' caring behaviours toward patients with left ventricular assist devices and deepen their understanding of experiences in nursing care. Patients with left ventricular assist devices require care in many aspects, but there is limited in-depth research about caring behaviours and experiences from the perspective of nurses providing care. RESEARCH METHODOLOGY/DESIGN: Mixed methods study with a sequential explanatory design. Data were collected from clinical nurses with experience caring for patients using left ventricular assist devices in South Korea between May-August 2022. MAIN OUTCOME MEASURES: Quantitative data (n = 79) were collected through an online survey of the Caring Behaviours Inventory - 24 and analysed using descriptive statistics. For qualitative data (n = 15), nurses' caring experiences were collected through individual interviews and analysed using Colaizzi's phenomenological method. RESULTS: The overall average of caring behaviours was 4.80 ± 0.85, specifically, 'knowledge and skill' (5.04 ± 0.78), 'assurance' (5.01 ± 0.79), 'respect' (4.85 ± 0.90), and 'connectedness' (4.04 ± 0.99), respectively. The experience of caring was trapped in the uncomfortable reality of left ventricular assist device nursing, causing device-focused care, and approaching the essence of nursing through care focused on the patient's wholeness. CONCLUSIONS: Caring for patients with a left ventricular assist devices was challenging for nurses. However, through the care process, they realised the meaning of patient-centred care, reflected in the essence of nursing, and sublimated it into an opportunity to grow. IMPLICATIONS FOR CLINICAL PRACTICE: Nurses must focus on patient-centred care for left ventricular assist devices. To achieve this, it is essential to create a clinical environment and educational system for nurses to provide effective nursing care and enhance patient participation.

How satisfied are patients with nursing care and why? A comprehensive study based on social media and opinion mining.

To assess the overall experience of a patient in a hospital, many factors must be analyzed; nonetheless, one of the key aspects is the performance of nurses as they closely interact with patients on many occasions. Nurses carry out many tasks that could be assessed to understand the patient's satisfaction and consequently, the effectiveness of the offered services. To assess their performance, traditionally, expensive, and time-consuming methods such as questionnaires and interviews have been used; nevertheless, the development of social networks has allowed the patients to convey their opinions in a free and public manner. For that reason, in this study, a comprehensive analysis has been performed based on patients' opinions collected from a feedback platform for health and care services, to discover the topics about nurses the patients are more interested in. To do so, a topic modeling technique has been proposed. After this, sentiment analysis has been applied to classify the topics as satisfactory or unsatisfactory. Finally, the results have been compared with what the patients think about doctors. The results highlight what topics are most relevant to assess the patient satisfaction and to what extent. The results remark that the opinion about nurses is, in general, more positive than about doctors.

Sexual well-being needs of patients with chronic illness expressed in health care: A scoping review.

AIMS: To systematically identify and summarize the needs of chronically ill people concerning their sexual well-being in peer-reviewed published literature, to enable healthcare professionals to provide support in self-management satisfying the needs. DESIGN: A scoping review was performed according to the framework of (JBI Manual for Evidence Synthesis. JBI Global Wiki, 2020). Findings are reported in line with the PRISMA extension for scoping reviews. REVIEW METHODS: A literature search and thematic analysis were conducted. DATA SOURCES: Full research was carried out in 2022 in the search engine BASE and the following databases: Scopus, MEDLINE, Science Citation Index Expanded, Social Sciences Citation Index and CINAHL. Peer-reviewed articles published after 2011 were included. RESULTS: Fifty articles could be found. Seven categories of needs could be identified. People with chronic diseases want their providers to initiate discussions about sexual concerns and treat them trustfully and respectfully. Most of the patients would like the issue of sexuality to be included in routine care. They perceive their medical specialists and psychologists as preferred providers to talk to about this issue. Nurses are seen as primary contact persons but in a smaller number of studies. CONCLUSION: Although the scoping review included different types of chronic diseases, the needs of chronically ill patients concerning their sexual well-being are not very different. Healthcare professionals, especially nurses, who are often the first point of contact for people with chronic illnesses, should take the initiative for open discussions about sexual issues. That requires a new understanding of the role of nurses, training and further education. IMPLICATIONS FOR THE PROFESSION AND/OR PATIENT CARE: Providing patient education and facilitating an open discussion about sexuality require further training in the new understanding of the role of the nurse and the concept of sexual well-being. IMPACT: What problem did the study address? Chronic diseases have an impact on patients' sexuality. Patients want to be informed about sexual issues, but providers often do not address them. What were the main findings? Patients with a chronic condition expect providers to initiate discussions about sexual well-being, regardless of the type of chronic disease. Where and on whom will the research have an impact? The research will impact healthcare professionals', especially nurses', future educational standards and ultimately patients. REPORTING METHOD: PRISMA extension for scoping reviews. NO PATIENT OR PUBLIC CONTRIBUTION: Not required as it was a literary work (scoping review).

Role of interaction for caller satisfaction in telenursing-A cross-sectional survey study.

AIMS AND OBJECTIVES: The aim of this study was to explore caller satisfaction with interaction, and the association to overall satisfaction with calls. BACKGROUND: In the era of expanding healthcare at distance, the telephone remains a common tool for the provision of nursing care. Interaction between telenurse and caller in telenursing is vital for safety, satisfaction and adherence reasons. Few studies have quantitatively explored interaction in calls and how it relates to overall satisfaction with calls. DESIGN: Cross-sectional survey study with a deductive approach. METHODS: A total of 466 callers to the Swedish Medical Advisory Service completed the Telenursing Interaction and Satisfaction Questionnaire. Satisfaction with four theoretically defined components of interaction were compared using repeated measures ANOVA. Associations between satisfaction with interaction and overall satisfaction with calls were evaluated with ordinal logistic regression models with and without adjustment for age, sex, health status, waiting time, time for call, main result of the call and expectations. The study followed the STROBE checklist. RESULTS: Callers were most satisfied with affective support, followed by professional-technical competence, health information and decisional control-in that order. A summated score of satisfaction with interaction was positively and significantly associated with overall satisfaction with calls before and after adjustment for waiting time, main result of call and variables related to the individual caller. CONCLUSIONS: Caller satisfaction with interaction is generally high but can be improved, especially regarding decisional control. Satisfaction with interaction is important for overall satisfaction with calls. RELEVANCE TO CLINICAL PRACTICE: This study provides support for professionals at all levels in telenursing organisations to pay attention to interactional matters. The development of best practice for telenurses needs to consider all four components of interaction to enhance satisfaction with calls.

Defining and characterising the nurse-patient relationship: A concept analysis.

The nurse-patient relationship involves complex attitudes and behaviours with ethical and deontological implications. It has been linked to improvements in patient health outcomes, although there is still no consensus in the scientific literature as to the definition and characterisation of the concept. This article aim to define the concept of the nurse-patient relationship. A concept analysis was conducted using the Walker and Avant method to identify the attributes defining the nurse-patient relationship. An integrative review of the literature was conducted using the PubMed, Web of Science, Scopus, and Cumulative Index to Nursing & Allied Health Literature databases. A review of the grey literature and other minor non-indexed publications on the topic was also conducted. A total of 36 articles were included in the review. A model case, a contrary case, a related case, and empirical references were produced to clarify the concept and identify its essential attributes. The concept is defined as a helping relationship involving interaction between different players. It is the basis of nursing care and is intended to meet the healthcare needs of the individual receiving this care. It is also viewed as an intervention in itself, requiring a specific training process just like any other nursing skill. The essential attributes of the relationship are empathy, presence, contact, authenticity, trust, and reciprocity. In conclusion, the nurse-patient relationship is a helping relationship established with the patient and/or their family based on interaction, communication, respect for ethical values, acceptance, and empathy in order to encourage introspection and behavioural change. Key components include communication, active listening, and respect. Bioethical values and confidentiality must also be present to ensure that the relationship is built on equality and intimacy.

Pacientes difíceis na atenção primária à saúde: entre o cuidado e o ordenamento / Pacientes difíciles en atención primaria de la salud: entre la atención y el ordenamiento / Difficult patients in primary health care: between care and order

O estudo objetivou compreender a deliberação ética de enfermeiros e médicos diante de pacientes difíceis na Atenção Primária à Saúde (APS). Utilizou-se uma abordagem compreensiva, ancorada no referencial teórico metodológico da bioética deliberativa. Analisaram-se as entrevistas semiestruturadas, tomando a prudência como categoria analítica. Entre 2002-2010, entrevistaram-se setenta profissionais da APS do município de São Paulo. Os resultados evidenciam que os cursos de ação intermediários dos profissionais tendem à conciliação dos valores cuidado e ordenamento. Nos cursos de ação extremos, as enfermeiras tendem para o cuidado, e os médicos, para o ordenamento. Conclui-se que os pacientes difíceis são comuns na APS e os profissionais tendem a apresentar cursos de ação para atendê-los, sem perturbar a rotina da unidade, os demais profissionais e usuários.

El objetivo de esta investigación fue el de entender la deliberación ética de las enfermeras y los médicos ante los pacientes difíciles en la Atención Primaria de Salud (APS). Para ello, se utilizó un enfoque comprehensivo, anclado en el marco teórico metodológico de la bioética deliberativa. Se realizaron entrevistas semi estructuradas usando la prudencia como categoría de análisis. En el período que va de 2002 a 2010 fueron entrevistados setenta profesionales de la APS en São Paulo. Los resultados muestran que los cursos de acción intermediarios son más propensos a conciliar los dos valores: cuidado y ordenamiento. Cuando los cursos de acción son extremos, las enfermeras tienden para el valor cuidado y los médicos tienden al ordenamiento. Los pacientes difíciles son comunes en la APS y los profesionales tienden a tener cursos de acción para atenderlos, sin perturbar la rutina del servicio de los otros profesionales y de los usuarios.

This study was aimed to understand nurses and doctors ethical deliberation related to difficult patients in Primary Health Care (PHC). It used a comprehensive approach, based in the methodological theoretical framework of deliberative Bioethics, using semi-structured interviews and practical wisdom as the analytical category. Seventy PHC professionals in São Paulo were interviewed between 2002 and 2010. The results show that intermediary courses of action tend to a trade-off between two values: care and planning. In the case of extreme courses of action, nurses tend more to care and doctors to planning. We conclude that difficult patients are common in PHC and health professionals tend to have courses of action in order to assist them without disturbing the routines of services, of other professionals and of users.

Sensing kuuki among visiting nurses.

This study aimed to explore how visiting nurses in Japan sense Kuuki (mood or atmosphere) in the homes of patients and families. Participants were 15 Japanese visiting nurses with experience sensing kuuki in homes of patients and families. Data were collected through two 90 min focus group interviews with experienced visiting nurses, and a qualitative content analysis was performed. The qualitative analysis showed that experienced visiting nurses sensed kuuki in eight ways. Kuuki differs based on type of illness, state of health and number of visits. Sensitivity to kuuki is thought to be linked to understanding of patient and family feelings, changes in the physical condition of patients and evaluation of nursing care delivery. Perception of kuuki also contributes to care planning especially on the very first home visit and when visiting terminally ill patients.

Acquiring Competence in Oncology Nursing Skills Through the Use of Film: A Study Protocol.

PURPOSE: To determine the influence of movies as a teaching resource with nursing students to improve their ability to cope with challenging scenarios in oncology nursing, as well as their competence to identify nursing diagnoses in these patients. METHODS: Cluster, randomized controlled trial with nursing students at the University of Málaga (Spain). MEASURES: Accuracy of nursing diagnoses, perceived stressors, death anxiety, empathy, level of decision making, and cognitive closure. CONCLUSIONS: This study will provide information about the efficacy of movies to improve the competence in nursing students for the care of oncology patients, as well as their diagnostic reasoning. IMPLICATIONS FOR NURSING PRACTICE: If significant modifications are obtained, this approach can be an important resource applicable to other contexts of patient care.

Relaciones personales entre la enfermera y el paciente / Personal relationships among between the nurse and the patient / Relações pessoais entre a enfermagem e o paciente

Introducción: Los cuidados de enfermería implican un proceso interpersonal entre una persona enferma y una sana. Las relaciones interpersonales consideran a la comunicación como un elemento fundamental. Objetivo: El propósito de este estudio se centra en la reflexión sobre las relaciones interpersonales y la trascendencia que tiene la comunicación en la práctica del cuidado. Métodos: Con herramientas de Google Académico y en bases de datos como PubMed-MEDLINE y ScieLo se revisaron artículos de investigación, de revisión narrativa y sistemática, tanto con enfoque cuantitativo como cualitativo. Se revisaron 120 artículos y se eligieron 58 que cumplieron con los criterios de selección: hombres y mujeres, de 18-60 años, publicados entre 2008-2013, de los 3 niveles de atención, en español, inglés y portugués y con texto completo. Resultados: Se establecieron 5 grupos de acuerdo al contenido y a los resultados para describir los aspectos más significativos de las relaciones interpersonales. Conclusiones: Los artículos seleccionados consideran prioritariamente a las áreas de cuidados intensivos y la observación de pacientes con padecimientos graves o terminales. Destacan la importancia de la comunicación no verbal, sin desconocer el valor de la comunicación verbal. Se observa que el desarrollo de la tecnología ha significado un progreso para la obtención y el mantenimiento de la salud de los pacientes, pero también se ha convertido en una barrera para las relaciones interpersonales. Además, las cargas de trabajo excesivo y la preocupación por el desarrollo de técnicas desplazan el reconocimiento del lugar que ocupan las relaciones interpersonales efectivas.

Introduction: Nursing care implies an interpersonal process between a sick person and a healthy one, and the communication is a fundamental element within these relationships. Objective: To reflect on these interpersonal relationships, and the transcendence which communication has on care. Methods: With tools such as Academic Google and databases such as PubMed-MEDLINE and ScieLo, a review of diverse systematic and narrative research articles, both qualitative and quantitative, was carried out. From a total of 120 articles found, 58 which fulfilled the selection criteria-men and women between 18 and 60 years old, published between 2008 and 2013, focused on any of the three levels of attention, in English, Spanish, or Portuguese, and with full texts - were chosen. Results: Five groups were established according to the content and results to describe the most significant issues around this kind of personal relationships. Conclusions: Those selected articles mainly consider the area of intensive care, and the area of observation of grave or terminal patients. Considering the value of verbal communication, the importance of non-verbal communication is also highlighted. Although, it is observed that the development of technology has contributed to improve the health of patients, sometimes it has also become a barrier to personal relationships. Moreover, excessive workloads displace further an acknowledgment of the importance which effective nurse-patient personal relationships have.

Introdução: Os cuidados de enfermagem envolvem um processo interpessoal entre uma pessoa doente e uma saudável. As relações interpessoais consideram à comunicação como um elemento fundamental. Objetivo: O propósito deste estudo centra-se na reflexão sobre as relações interpessoais e a transcendência que tem a comunicação na prática do cuidado. Métodos: Com ferramentas de Google Acadêmico e nas bases de dados como PubMed-MEDLINE e ScieLo revisaram-se artigos de pesquisa, de revisão narrativa e sistemática, tanto na abordagem quantitativa como qualitativa. Revisaram-se 120 artigos e escolheram-se 58 que cumpriram com os critérios de escolha: homens e mulheres, de 18-60 anos, publicados entre 2008-2013, dos 3 níveis de atenção, em espanhol, inglês, português e com texto completo. Resultados: Estabeleceram-se 5 grupos conforme o conteúdo e os resultados para descrever os aspetos mais significativos das relações interpessoais. Conclusões: Os artigos escolhidos consideram prioritariamente as áreas de cuidados intensivos e a observação de pacientes com doenças graves ou terminais. Destacam a importância da comunicação não-verbal sem desconhecer o valor da comunicação verbal. Observa-se que o desenvolvimento da tecnologia tem significado um progresso para a obtenção e manutenção da saúde dos pacientes, mas também se tornou em uma barreira para as relações interpessoais. Além disso, as cargas de trabalho excessivo e a preocupação pelo desenvolvimento de técnicas deslocam o reconhecimento do lugar que ocupam as relações interpessoais efetivas.

Evaluación de la percepción de pacientes sobre el comportamiento de comunicación del personal de enfermería: diseño y validación en población mexicana / Evaluation of the patient's perception on the communication behavior of the nursing personnel: design and validation in the Mexican population

ANTECEDENTES: La comunicación enfermera-paciente es fundamental para la aplicación de los cuidados en salud. El presente estudio aborda la percepción de pacientes sobre la comunicación verbal y no verbal con sus enfermeras. Entre los instrumentos para su evaluación destaca la Herramienta para la Evaluación del Cuidado (CAT por sus siglas en inglés), pero diferencias culturales y educativas de la población mexicana limitan su aplicabilidad en nuestro contexto.OBJETIVO: Diseñar y validar un instrumento sobre la percepción de los pacientes sobre el comportamiento de comunicación de enfermeras (denominado CECOP), en función de lo que observan pacientes mexicanos.MÉTODO: Con base en una entrevista exploratoria a 29 pacientes, se diseñó el CECOP con 25 reactivos, se estableció validez de contenido con jueces expertos (eliminando dos reactivos) y se aplicó a 150 pacientes. Se empleó análisis factorial con método de extracción de análisis de componentes principales y rotación Varimax. Se estableció la validez convergente entre el CECOP y el CAT y entre el CECOP y escalas numéricas que valoraron comprensión empática y satisfacción del paciente.RESULTADOS: La validez de constructo lo redujo a diez reactivos en dos factores (empatía y respeto); con Kaiser-Meyer-Olkin (KMO) y prueba de Bartlett estadísticamente significativas (p≤.001). La varianza explicada fue de 54.58%. La correlación entre los puntajes totales del CECOP (10 reactivos) y el CAT fue .459, el CECOP y la escala de comprensión fue .419; el CECOP y la escala de satisfacción, .495; todas, estadísticamente significativas (p≤.001).DISCUSIÓN Y CONCLUSIÓN: El CECOP permite evaluar los cuidados profesionales en su dimensión humana, desde la percepción de los pacientes, y sugerir propuestas para mejorar la comunicación de las enfermeras.

BACKGROUND: Nurse-patient communication has been established as a key component of professional healthcare. The present study examined the patients' perception of the verbal and non-verbal communication skills of nurses. Although the Caring Assessment Tool (CAT) stands among the instruments available to evaluate these communication skills, cultural and schooling characteristics limit its direct applicability to the Mexican context.OBJECTIVE: The aim of this study was to design and validate an instrument on the patient-recorded Nurse Communication Behavior (CECOP, for its acronym in Spanish) based on the Mexican patient's experience.METHOD: Based on exploratory interviews with 29 patients, a first draft of the CECOP was designed. The instrument was validated by independent expert judges and after the elimination of two items it was used with 150 patients. The validity was assessed by a factor analysis extraction through Principal Component Analysis and Varimax Rotation. Convergence validity was established between the CAT and the CECOP and between the CECOP and numeric scales that evaluate empathy and patient satisfaction.RESULTS: Construct Validity reduced the CECOP to 10 items in two factors (empathy and respect) with statistically significant KMO (Kaiser-Meyer-Olkin) and Bartlett's Test (p≤.001). The explained variation was 54.58%. The correlation between the CECOP score (10 items) and the CAT was .459. Between the CECOP and the empathy scale and between the CECOP and the satisfaction scale the correlations were .419 and .495, respectively. All correlations were statistically significant (p≤.001).DISCUSSION AND CONCLUSION: The CECOP can be used to evaluate professional care in its human dimension from the patient's perspective and to suggest improvements in the nurses communication.

Autoevaluación de enfermeras respecto a la comunicación percibida con pacientes como resultado de un entrenamiento / Nurses' self-assessment on their perceived communication with patients as a result of a specific training / A autoavaliação de enfermeiras referente à comunicação percebida com pacientes, como resultado de um treino

Introducción: Las relaciones interpersonales que realizan las enfermeras al brindar cuidado a sus pacientes se sustentan en la comunicación; la incorporación de programas en habilidades para la comunicación coadyuva en la mejora de la calidad de atención. Objetivo: Comparar la autoevaluación de un grupo de enfermeras respecto a la comunicación con sus pacientes como resultado de un programa de entrenamiento en habilidades sociales. Métodos: Estudio descriptivo comparativo. Se aplicó el ACEP (Autoevaluación de la forma de Comunicación de las Enfermeras con los Pacientes) a 14 enfermeras de una institución pública de tercer nivel, antes y después de un entrenamiento en habilidades de comunicación. El ACEP evalúa comportamientos verbales y no verbales sobre empatía (8 reactivos) y respeto (2 reactivos); la escala de medición oscila entre 1 y 5, a mayor puntuación mejor comunicación. Se analizaron datos con las siguientes pruebas estadísticas: Wilcoxon para comparar pre y postentrenamiento; t de Student y Fisher para comparación de grupos por edad, antigüedad laboral y escolaridad. Resultados: El puntaje global inicial fue de 33 a 45 y el posterior de 41 a 50, con p = 0.004. Se observó diferencia entre la pre y la postautoevaluación de los comportamientos: uso palabras de ánimo para motivarlos (p = 0.016) y "los apapachó" para animarlos (p = 0.014). No hubo diferencia entre los grupos por edad, antigüedad laboral y escolaridad. Conclusiones: Desde la primera autoevaluación se observaron puntajes altos, pero el promedio de la postevaluación superó la primera cifra. Hubo cambios favorables, aunque no todos fueron estadísticamente significativos.

Introduction: Nurses' interpersonal relations with their patients are based on communication; the introduction of training programs on communication skills can encourage nurses to improve their quality of care. Objective: To compare a group of nurses' self-assessment on their communication with patients before and after having taken a social skills training program. Methods: The study design was descriptive and comparative. The ACEP (Self-assessment on the nurses' form of communication with their patients) was given to 14 nurses from a third level public institution, before and then after these nurses took a specific training on communication skills. The ACEP assesses verbal and non-verbal behaviors related to empathy (8 items) and respect (2 items). The scale goes from 1 to 5, and the higher the score, the better the communication skills. Data were analyzed through these statistical tests: Wilcoxon to compare scores pre and post training, student's t, and Fisher to compare groups by age, work history, and educational level. Results: The pre training global scores went from 33 to 45 while the post training ones went from to 41 to 50 (p=.004). A difference was observed between the pre and post training behavior assessment in the items "the nurse used words of encouragement to motivate patients" (p=.016), and "the nurse embraced the patients to motivate them" (p=.014). There were no differences among groups by age, work history, or educational level. Conclusions: The ACEP scores were higher after the communication skills training program, however not all specific changes were statistically significant.

Introdução: Os relacionamentos interpessoais que realizam as enfermeiras quando oferecem cuidado aos pacientes asseguram-se na comunicação. A incorporação de programas em habilidades para a comunicação contribui para a melhoria da qualidade de atenção. Objetivo: Comparar a autoavaliação de um grupo de enfermeiras referente à comunicação com os pacientes como resultado de um programa de treino em habilidades sociais. Métodos: Estudo descritivo comparativo. Aplicou-se o ACEP (Autoavaliação da forma de Comunicação das Enfermeiras com os Pacientes) a 14 enfermeiras de uma instituição pública de terceiro nível, antes e depois de um treino em habilidades de comunicação. O ACEP avalia comportamentos verbais e não verbais sobre a empatia (8 reagentes) e respeito (2 reagentes), a escala de medição oscila entre 1 e 5, quanto maior a pontuação melhor é a comunicação. Analisaram-se dados com os seguintes testes estatísticos: Wilcoxon para comparar o pré e o pós- treino, o t de Student e o Fisher para a comparação de grupos etários, antiguidade laboral e escolaridade. Resultados: A pontuação global inicial foi de 33 a 45 e a posterior foi de 41 a 50, com p = 0.004. Observou-se diferença entre a pré e a pós-autoavaliação dos comportamentos: "o uso de palavras de ânimo para motivá-los" (p = 0.016) e "os mimos para encorajá-los" (p = 0.014). Não houve diferença entre os grupos por idade, antiguidade laboral e escolaridade. Conclusões: Desde a primeira autoavaliação observou-se pontuação alta, mas a média da pós-avaliação superou a primeira cifra. Houve mudanças favoráveis, ainda que nem todas fossem estatisticamente significativas.

The power of nursing: guiding patients through a journey of uncertainty.

PURPOSE: The objective of this qualitative study was to understand the experiences of oncology nurses in patient counseling and support services in the ambulatory care setting. METHODS AND SAMPLE: A qualitative study was conducted using grounded theory methods. Data were generated through four focus group interviews with 21 oncology nurses currently providing counseling and support services for cancer patients in Japan. The content was analyzed based on a constant comparison approach. RESULTS: The power of nursing was identified through three themes: connecting with the patient (shared needs); personalized coordination (shared action); and realizing the patient's potential (reassurance). Oncology nurses should guide patients through the uncertain cancer trajectory by identifying patients' true needs based on an established relationship, providing personalized coordination, and developing their potential. Patient-centered care can be provided in non-physical care settings such as counseling and support services. CONCLUSIONS: Our study describes the uniqueness and significance of nursing, and provides insights into realizing the full potential of nurses. This conceptual model can be used as a guide for practice and an educational tool to build professional identity of nurses. Oncology nurses can take a leadership role in enhancing the visibility of the nurses in multidisciplinary environments.

Bienestar espiritual en pacientes con cáncer de mama identificado a través de la relación enfermera-paciente / Spiritual well-being in patients with identified breast cancer through the relation nurse-patient

Introducción: El cáncer de mama es una experiencia devastadora, implica situaciones que provocan problemas fisiológicos, psicológicos, sociales y espirituales. La relación enfermera-paciente propuesta por Hildergard E. Peplau es esencialmente el marco en el que las creencias, valores, actitudes y conocimiento del paciente y de la enfermera pueden emplearse para explorar y comprender la dinámica de una existencia sana, en donde el bienestar espiritual juega un papel importante. Objetivo: Identificar el bienestar espiritual en pacientes con cáncer de mama, en la fase de orientación a través de la relación enfermera-paciente Metodología: Estudio descriptivo, transversal, con 25 pacientes, se utilizó cuestionario basado en Facit-SP-12, que forma parte de la evaluación funcional en terapia oncológica en relación con calidad de vida, con una confiabilidad de 0.8992. Resultados: El 88% de las pacientes presentó bienestar espiritual bueno y regular 12%. Discusión: El reconocimiento de implicaciones psicológicas y sociales de enfermedades crónicas ha dado lugar a que los profesionales establezcan objetivos de atención relacionado con comunicación efectiva entre cuidadores de la salud y el paciente. La mayoría de las personas presentaron bienestar espiritual bueno, y la relación interpersonal permitió explorar y comprender creencias valores y actitudes, con la finalidad de conducir a la salud, como cualidad dinámica que permite la experiencia potencial del bienestar físico y social, que confiere la oportunidad de vivir bien y en armonía.

Introduction: Breast cancer is a devastating experience which implies situations that provoke physiological, psychological, social, and spiritual problems. The relation nurse-patient proposed by Hildergard E. Peplau is essentially the frame in which the beliefs, values, attitudes and knowledge of the patient and nurse may be used to explore and understand the dynamics of a healthy existence, where the spiritual well-being plays an important role. Objective: To identify the spiritual well-being in breast cancer patients, in the phase of orientation through the relation nurse-patient. Methodology: Transversal, descriptive study done in 25 patients. A questionnaire based on Facit-Sp 12 that is part of the functional evaluation in oncology therapy related to the quality of life was utilized. The confidentiality was of 0.8992. Results: The good spiritual well-being was present in 88% of the patients and the regular spiritual well-being in 12% of them. Discussion: Acknowledgment of psychological and social implications due to chronic diseases, has lead the professionals to establish during their assistance objectives related to effective Communication between health caregivers, and the patient. The most of people showed up a good spiritual well-being, and the interpersonal relationship allowed exploring and understanding beliefs, values, and attitudes, with the objective of leading to health, as a dynamic trait that allows the potential experience of physical, and social well-being that confers the opportunity of living fine and in harmony.

Comunicación mediante imágenes entre enfermera y paciente en estado crítico / Communicaton between nurses and patients in critical conditions by images

El propósito del estudio fue investigar si la comunicación enfermera-paciente en estado crítico se mejora utilizando un código de comunicación mediante imágenes. Se realizó un estudio transversal descriptivo a 28 pacientes intubados conscientes en estado crítico, de la Unidad de Cuidados Intensivos Posquirúrgicos y Unidad de Cuidados Intensivos Coronarios del Hospital de Cardiología, Centro Médico Nacional Siglo XXI, a quienes se aplicó dicho código, el cual consta de 20 tarjetas que representan necesidades o problemas del paciente, agrupadas por color de la siguiente manera: rojo-dolor, azul-higiene, verde-comodidad y tranquilidad, amarillo-molestia, morada-apoyo espiritual. El estudio permitió valorar la comprensión de cada tarjeta, obteniendo como resultado global 87.3% de comprensión del código de comunicación mediante imágenes, por lo que consideramos que representa una opción útil para facilitar la comunicación con el paciente en estado crítico y se puede aplicar en las unidades de cuidados intensivos.

The purpose of this study was to find whether the communication between a nurse and a patient in critical condition can be improved if a communication code by means of images is used. A descriptive transversal study was done to 28 intubated conscious patients in critical condition. Those patients were from the Post-Surgical Intensive Care Unit, and the Coronary intensive Care Unit in the Hospital de Cardiologia, Centro Medico Nacional Siglo XXI. We used a code composed by 20 cards depicting several patient needs or problems. The cards were color-code in the following manner: red-pain, blue-hygiene, green-comfort and tranquility, yellow-discomfort, purple-spiritual support. The study allowed us to value the understanding of each card. The global result was an 87.3% understanding of the communication code by means of images. For this reason we believe that the code is a useful option to facilitate communication with the patient in critical condition, and that it can be applied in intensive care units.