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1.
Rev. enferm. UERJ ; 28: e39222, jan.-dez. 2020.
Artigo em Inglês, Português | LILACS, BDENF - Enfermagem | ID: biblio-1116097

RESUMO

Objetivo: desenvolver uma reflexão teórica-reflexiva acerca da vulnerabilidade e suas dimensões nos cuidados de enfermagem aos grupos humanos. Conteúdo: Trata-se de uma análise reflexiva, fundamentada no referencial de vulnerabilidade e direitos humanos, que promoveu uma reflexão acerca do tema proposto, com o propósito de uma aprendizagem prática- reflexiva a partir da imersão nos contextos práticos-teóricos sobre o tema, para tecer uma análise de como as dimensões da vulnerabilidade podem ser trabalhadas com os cuidados de enfermagem aos diversos grupos humanos. Considerações finais: Verifica-se, a partir desse estudo, que a vulnerabilidade envolve a combinação de elementos que refletem na dimensão individual, social e programática e estão associadas às experiências de facilidade e dificuldades impostas pelo processo saúdedoença relacionadas ao modo de vida de cada grupo e aos cuidados de enfermagem prestados.


Objective: to develop a reflective and theoretical discussion about vulnerability and its dimensions in nursing care for human groups. Content: this reflective analysis, framed by reference to vulnerability and human rights, conducted group thinking on the proposed theme, with a view to practical and theoretical learning through immersion in related practical and theoretical contexts, so as to build an analysis of how dimensions of vulnerability can be addressed by nursing care for diverse human groups. Final considerations: this study found that vulnerability involves a combination of components reflected in the individual, social and programmatic dimensions and associated with experiences of difficulties and solutions imposed by the health-disease process. related to the lifestyle of each group and the nursing care provided.


Objetivo: desarrollar una discusión reflexiva y teórica sobre la vulnerabilidad y sus dimensiones en el cuidado de enfermería para grupos humanos. Contenido: este análisis reflexivo, enmarcado en referencia a la vulnerabilidad y los derechos humanos, realizó un pensamiento grupal sobre el tema propuesto, con miras al aprendizaje práctico y teórico a través de la inmersión en contextos prácticos y teóricos relacionados, a fin de construir un análisis de cómo las dimensiones de La vulnerabilidad puede ser abordada por el cuidado de enfermería para diversos grupos humanos. Consideraciones finales: este estudio encontró que la vulnerabilidad implica una combinación de componentes reflejados en las dimensiones individuales, sociales y programáticas y asociados con experiencias de dificultades y soluciones impuestas por el proceso de salud-enfermedad. relacionado con el estilo de vida de cada grupo y la atención de enfermería brindada.


Assuntos
Humanos , Populações Vulneráveis , Vulnerabilidade em Saúde , Relações Enfermeiro-Paciente , Cuidados de Enfermagem/tendências , Equidade em Saúde , Acolhimento
2.
Rev. enferm. UERJ ; 28: e48443, jan.-dez. 2020.
Artigo em Inglês, Português | LILACS, BDENF - Enfermagem | ID: biblio-1116092

RESUMO

Objetivo: comparar o comportamento de pré-escolares durante o uso de administração por inalação, antes e após sessão de Brinquedo Terapêutico. Método: estudo quase-experimental de abordagem quantitativa, com a técnica de observação antes e após a intervenção, realizado por meio de amostra intencional, recrutadas em uma Unidade de Pronto Atendimento no interior de Minas Gerais. Os dados foram analisados por estatística descritiva e inferencial, coletados entre os meses de novembro de 2017 a abril de 2018. Resultados: foram avaliados 25 comportamentos de 99 pré-escolares durante a administração por inalação. Após a sessão, 73,7% estavam com a postura e expressão facial relaxada, 76,8% estavam à vontade, 19,2% interromperam o procedimento e 38,4 % solicitaram a presença da mãe ou acompanhante. Conclusão: o uso do brinquedo, favoreceu maior aceitação e adaptação de pré-escolares submetidos à administração por inalação, evidenciado a importância em implementar essa estratégia em serviços de pronto atendimento pediátrico.


Objective: to compare the behavior of preschoolers during inhalation therapy, before and after a Therapeutic Play session. Method: quasi-experimental, quantitative study using pre- and post-intervention observation with an intentional sample recruited at an Emergency Care Unit in Minas Gerais. Data were collected from November 2017 to April 2018 and analyzed by descriptive and inferential statistics. Results: twenty-five behaviors of 99 preschoolers were evaluated during inhalation administration. After the session, 73.7% were relaxed in posture and facial expression, 76.8% were comfortable, 19.2% interrupted the procedure, and 38.4% requested the mother or companion to be present. Conclusion: the use of toys favored greater acceptance and adaptation by preschoolers undergoing inhalation therapy, evidencing the importance of implementing this strategy in pediatric emergency services.


Objetivo: comparar el comportamiento de los preescolares durante la terapia de inhalación, antes y después de una sesión de Juego Terapéutico. Método: estudio cuantitativo cuasi-experimental utilizando observación previa y posterior a la intervención con una muestra intencional reclutada en una Unidad de Atención de Emergencia en Minas Gerais. Los datos se recopilaron de noviembre de 2017 a abril de 2018 y se analizaron mediante estadísticas descriptivas e inferenciales. Resultados: se evaluaron veinticinco comportamientos de 99 niños en edad preescolar durante la administración por inhalación. Después de la sesión, el 73.7% se relajó en la postura y la expresión facial, el 76.8% se sintió cómodo, el 19.2% interrumpió el procedimiento y el 38.4% solicitó que la madre o la acompañante estuvieran presentes. Conclusión: el uso de juguetes favoreció una mayor aceptación y adaptación por parte de los preescolares sometidos a terapia de inhalación, lo que evidencia la importancia de implementar esta estrategia en los servicios de emergencia pediátricos.


Assuntos
Humanos , Masculino , Feminino , Pré-Escolar , Jogos e Brinquedos/psicologia , Administração por Inalação , Comportamento Infantil/psicologia , Técnicas de Observação do Comportamento , Relações Enfermeiro-Paciente , Cuidados de Enfermagem/métodos
3.
Psychiatr Danub ; 32(Suppl 1): 207-209, 2020 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-32890391

RESUMO

BACKGROUND: Mental disorder is known to be as a loss of existential paradigm; individual's functioning is lacking in all areas. Therefore, it is difficult to point out what the patients exactly need because their needs are set on a broad range of a difficult boundary. The level of care that follows will be complex and multifactorial because nursing will challenge the interaction with the individual as a whole: behaviors and relations with family members. At this stage exploring interpersonal conflicts, with past and present aggression behaviors will be crucial. SUBJECTS AND METHODS: Aim of this paper is to investigate the professional experience in a work context where the patient's clinical condition poses a daily challenge from a physical and emotional perspective. Narrative investigation is performed here in order to explore the psychological load of the professional's psychological experience and its implication in facing aggressive situations. Moreover, this investigation highlights the importance of some professional and personal resources that can be made available to the operator. RESULTS: These tools could improve the understanding of the subjective experience of acute events guiding the individual through an exploration of the phenomenology of what happened decreasing the intimate stress load. CONCLUSIONS: A constant updating, the knowledge of de-escalation techniques and sharing the experience in dedicated settings could be important allies in the management of risk events.


Assuntos
Agressão , Saúde Mental , Relações Enfermeiro-Paciente , Existencialismo , Família , Humanos
4.
J Christ Nurs ; 37(4): E43-E44, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-32898076

RESUMO

Nurses have put themselves in precarious situations by caring for COVID-19 patients. Through the grid of faith, hope, and love as depicted in 1 Corinthians, the author commends the selfless work of nurses and esteems God's faithfulness to nurses who acknowledge him.


Assuntos
Cristianismo , Infecções por Coronavirus/enfermagem , Papel do Profissional de Enfermagem/psicologia , Pneumonia Viral/enfermagem , Religião e Medicina , Local de Trabalho/psicologia , Betacoronavirus , Comportamento Cooperativo , Empatia , Humanos , Relações Enfermeiro-Paciente , Pandemias , Filosofia em Enfermagem
5.
Rev Infirm ; 69(263): 19-20, 2020.
Artigo em Francês | MEDLINE | ID: mdl-32993897

RESUMO

Nursing clinical approach, listening to the body. In their practice working closely with patients and their families, nurses base their clinical approach on the gathering and analysis of the multiple signals sent by the body of the patient they are caring for. In collaboration with the doctor, the monitoring of vital signs and biological data helps to guide the care and the choice and implementation of therapies. A concrete case illustrates the contribution of nursing sciences to the clinical approach led by the nurse.


Assuntos
Corpo Humano , Relações Enfermeiro-Paciente , Cuidados de Enfermagem , Humanos
6.
Rev Infirm ; 69(263): 21-23, 2020.
Artigo em Francês | MEDLINE | ID: mdl-32993898

RESUMO

Supporting the professionalisation of student nurses through the approach of the body. When student nurses begin their training, their approach to others' bodies is shaped by social norms. This relationship changes through their studies and their practice placements, until they become qualified professionals. Becoming a caregiver requires them to change their relationship with the body. How does the training support students in the transformations of their representations, enabling them to be competent in the nurse-patient relationship within the other person's private sphere?


Assuntos
Corpo Humano , Relações Enfermeiro-Paciente , Estudantes de Enfermagem , Humanos
7.
Niger J Clin Pract ; 23(9): 1201-1206, 2020 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-32913157

RESUMO

Background: Self-efficacy has become a cross-disciplinary concept. In the field of healthcare, this concept is considered crucial for nurses; who play an important role in improving the health and well-being of the community. Aims: The aim of this study was to develop a "Relationship-with-the-patient self-efficacy scale" (RPSES). Methodology: A sample of 331 university students (310 females and 21 males; 168 from the midwifery and 162 from the nursing departments) were enrolled in the study. Out of 24 items, 8 behavior items with the highest factor loadings were selected regarding the nurse-patient-relationship self-efficacy according to the results of the preliminary exploratory factor analysis. Results: The final exploratory factor analysis revealed that the selected 8 items of RPSES had a single factor, explaining 83.28% of the total variance. The Cronbach alpha reliability coefficient was c alculated as 0.97. Conclusion: This scale has beendemonstrated to be a valid and reliable instrument.The analyses unfolded that RPSES scores of the students were not different between men and womenand did not differ by the departments the students attended; however, the RPSES scores were different by the grade levels of the students (juniors and seniors). The fourth graders' RPSES scores were higher than those of third graders.


Assuntos
Enfermeiras Obstétricas/psicologia , Relações Enfermeiro-Paciente , Autoeficácia , Estudantes de Enfermagem/psicologia , Inquéritos e Questionários/normas , Adulto , Análise Fatorial , Feminino , Humanos , Masculino , Psicometria/instrumentação , Reprodutibilidade dos Testes
8.
J Nurs Adm ; 50(10): 499-501, 2020 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-32925660

RESUMO

DAISY stories express gratitude from patients and families for extraordinary and compassionate nursing care. These stories share what extraordinary care looks like to the nominator as they describe their relationship with their nurse and communicate a profound sense of gratitude that goes beyond the moment of care. This sense of gratitude can have a transcending impact on others, including healthcare organizations, as demonstrated by one family's experience.


Assuntos
Empatia , Relações Enfermeiro-Paciente , Recursos Humanos de Enfermagem/psicologia , Humanos , Papel do Profissional de Enfermagem , Estados Unidos
9.
Front Health Serv Manage ; 37(1): 10-13, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-32842083

RESUMO

The question of how to engender patient trust in a pandemic is not easy to answer, and yet it is a critical question that requires a convincing response. On March 14, 2020, the surgeon general of the United States called for a stop to elective procedures. Ultimately, that led us at Scripps Health to close some clinics to protect personal protective equipment supplies and then furlough staff because of the decrease in patient visits. It soon became evident, however, that patients needed our care more than ever, and we had to pivot to provide the services they needed-but in a very different way. Our team rose to the challenge and quickly redesigned the entire organizational approach to accelerate telehealth services for the convenience of our patients. In the process, we also targeted a patient outreach program to our high-risk patients, which turned out to be an important aspect of our COVID-19 patient care initiative.


Assuntos
Infecções por Coronavirus/psicologia , Infecções por Coronavirus/terapia , Pandemias , Participação do Paciente/psicologia , Satisfação do Paciente , Pneumonia Viral/psicologia , Pneumonia Viral/terapia , Telemedicina/organização & administração , Confiança , Betacoronavirus , California , Humanos , Relações Enfermeiro-Paciente , Relações Médico-Paciente
10.
Am J Nurs ; 120(9): 26-35, 2020 09.
Artigo em Inglês | MEDLINE | ID: mdl-32858695

RESUMO

PURPOSE: This study sought to evaluate nurses' knowledge and comfort with assessing inpatients' access to firearms and providing education on firearm safety and storage. Facilitators and barriers to such assessment, as well as best methods for educating nurses and patients on firearm safety and storage, were also explored. METHODS: Nurses from a general medical unit and a psychiatric unit at a large urban hospital were invited to complete a 22-question online survey. Descriptive statistics were computed to analyze survey responses for each unit. RESULTS: Forty-two nurses-21 from each unit-participated. More than 50% of nurses on each unit were unfamiliar with state law on safe gun storage, and none had prior training in educating others on firearm safety and storage. Compared with nurses on the psychiatric unit, those on the general medical unit were less comfortable asking patients about firearm access and safe gun storage. Several facilitators and barriers to assessment emerged. Facilitators identified by similar numbers of nurses on each unit included receiving relevant education and having educational information available for patients. Nurses on both units also endorsed having a safety protocol and a documentation policy in place. Barriers identified by similar numbers of nurses on each unit included lack of adequate knowledge about firearm safety and lack of patient educational materials. More medical unit than psychiatric unit nurses also named lack of time and not knowing what to do with collected information. More than 80% of nurses on each unit reported that they would feel comfortable providing patients with information on safe firearm storage if it were available; a pamphlet was endorsed most often as the best method. A one-hour class involving the security department and other disciplines was the top endorsed nurse learning strategy. CONCLUSIONS: Findings from this study highlighted several factors, including nursing specialty, that may influence inpatient assessment of firearm access and safe gun storage. These results can help inform hospital policies and nursing education initiatives aimed at improving safe gun storage practices among patients and the general public.


Assuntos
Armas de Fogo , Conhecimentos, Atitudes e Prática em Saúde , Papel do Profissional de Enfermagem , Recursos Humanos de Enfermagem no Hospital/psicologia , Gestão da Segurança/métodos , Ferimentos por Arma de Fogo/prevenção & controle , Adulto , Feminino , Humanos , Masculino , Relações Enfermeiro-Paciente , Inquéritos e Questionários , Estados Unidos , Ferimentos por Arma de Fogo/enfermagem , Ferimentos por Arma de Fogo/psicologia
11.
Am J Nurs ; 120(9): 48-58, 2020 09.
Artigo em Inglês | MEDLINE | ID: mdl-32858699

RESUMO

PURPOSE: This project examined nurses' positive and negative perceptions of the technology used in language interpretation for patients who have limited English proficiency (LEP). The intervention was guided by the technology acceptance model, a framework that addresses users' acceptance or rejection of computer-based technology. METHODS: A sample of 47 nurses participated. Nurses' perceptions of an existing telephone-based remote interpretation technology were compared with their perceptions of a video remote interpretation (VRI) system. Instruments included a structured questionnaire to collect nurses' demographic and other characteristics and to measure their perceptions of the technology used in language interpretation; open-ended questions were added on how technology affected nursing care and nurses' rapport and communication with patients. Questionnaires on the telephone-based interpretation technology were administered, and after an eight-week trial of the VRI technology, questionnaires on the VRI system were administered. RESULTS: Overall, positive perceptions of VRI were significantly higher and negative perceptions significantly lower compared with perceptions of telephone-based interpretation technology (P < 0.001 for both). Qualitative findings indicated that VRI technology improved communication and was less time consuming for nurses. CONCLUSIONS: Nurses preferred VRI technology because of its positive effects on time expenditure and communication. VRI technology is likely to be adopted successfully and ensures increased use of professional language interpretation for patients with LEP.


Assuntos
Assistência à Saúde Culturalmente Competente/métodos , Proficiência Limitada em Inglês , Relações Enfermeiro-Paciente , Enfermeiras e Enfermeiros/psicologia , Comunicação por Videoconferência/organização & administração , Adulto , Barreiras de Comunicação , Feminino , Humanos , Idioma , Masculino , Tradução
13.
Am J Nurs ; 120(8): 11, 2020 08.
Artigo em Inglês | MEDLINE | ID: mdl-32732460

RESUMO

The need for faculty to create opportunities to practice communication skills.


Assuntos
Comunicação , Bacharelado em Enfermagem/organização & administração , Relações Enfermeiro-Paciente , Estudantes de Enfermagem , Humanos
14.
PLoS One ; 15(7): e0235694, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-32645062

RESUMO

This study evaluated the communication experiences of critical care nurses while caring for patients in an intensive care unit setting. We have collected qualitative data from 16 critical care nurses working in the intensive care unit of a tertiary hospital in Seoul, Korea, through two focus-group discussions and four in-depth individual interviews. All interviews were recorded and transcribed verbatim, and data were analyzed using the Colaizzi's method. Three themes of nurses' communication experiences were identified: facing unexpected communication difficulties, learning through trial and error, and recognizing communication experiences as being essential for care. Nurses recognized that communication is essential for quality care. Our findings indicate that critical care nurses should continuously aim to improve their existing skills regarding communication with patients and their care givers and acquire new communication skills to aid patient care.


Assuntos
Unidades de Terapia Intensiva/ética , Relações Enfermeiro-Paciente/ética , Relações Profissional-Família/ética , Adulto , Comunicação , Enfermagem de Cuidados Críticos , Feminino , Humanos , Papel do Profissional de Enfermagem , Recursos Humanos de Enfermagem no Hospital , Pesquisa Qualitativa , República da Coreia , Seul
16.
Nursing ; 50(8): 43-46, 2020 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-32701891

RESUMO

This article reviews the origins of vaccine hesitancy, explores common misconceptions about vaccines, and discusses strategies for overcoming vaccine hesitancy.


Assuntos
Relações Enfermeiro-Paciente , Educação de Pacientes como Assunto , Vacinação/enfermagem , Vacinação/psicologia , Conhecimentos, Atitudes e Prática em Saúde , Humanos
17.
Clin J Oncol Nurs ; 24(4): 345, 2020 08 01.
Artigo em Inglês | MEDLINE | ID: mdl-32678363

RESUMO

Put aside the exasperating debate about whether individuals should wear a face mask to protect themselves and others against the spread of the COVID-19 virus (Centers for Disease Control and Prevention, 2020). Wearing a face mask has become a cause célèbre, with implications of safety for oneself and others, trust in science, and being in defiance of or in lockstep with healthcare authority figures.


Assuntos
Comunicação , Máscaras , Infecções por Coronavirus/epidemiologia , Infecções por Coronavirus/prevenção & controle , Humanos , Relações Enfermeiro-Paciente , Enfermagem Oncológica , Pandemias/prevenção & controle , Pneumonia Viral/epidemiologia , Pneumonia Viral/prevenção & controle , Estados Unidos/epidemiologia
18.
Rev Infirm ; 69(260-261): 39-40, 2020.
Artigo em Francês | MEDLINE | ID: mdl-32600596

RESUMO

The nurse, a frontline player in therapeutic education. The ageing of the population and the growing number of people with chronic diseases is resulting in a significant need for therapeutic patient education (TPE). Nurses, by virtue of their training and their missions, are frontline players in the implementation of TPE, as demonstrated by the different perspectives of a student nurse and his practice placement tutor with the development of an educational booklet on the theme of "diet and diabetes".


Assuntos
Diabetes Mellitus/enfermagem , Relações Enfermeiro-Paciente , Educação de Pacientes como Assunto , Estudantes de Enfermagem/psicologia , Dieta , Humanos , Folhetos
19.
Soins Psychiatr ; 41(326): 37-41, 2020.
Artigo em Francês | MEDLINE | ID: mdl-32718526

RESUMO

The nursepatient relationship is particularly challenging when the patient experiences psychosis and when he or she is placed in a context of coercion. Psychosis causes relational problems in the patient, which are further complicated in a context of coercion as this practice implies differences of understanding, status and power between the nurse and the patient. The Tidal Model, a care model focused on recovery, comprises ten principles of commitment for caregivers, which help to build a bridge between them and the person experiencing psychosis.


Assuntos
Coerção , Relações Enfermeiro-Paciente , Transtornos Psicóticos/enfermagem , Transtornos Psicóticos/psicologia , Feminino , Humanos , Masculino , Modelos de Enfermagem
20.
Artigo em Inglês | MEDLINE | ID: mdl-32645992

RESUMO

This study was intended to confirm the structural relationship between clinical nurse communication skills, problem-solving ability, understanding of patients' conditions, and nurse's perception of professionalism. Due to changes in the healthcare environment, it is becoming difficult to meet the needs of patients, and it is becoming very important to improve the ability to perform professional nursing jobs to meet expectations. In this study method, structural model analysis was applied to identify factors influencing the perception of professionalism in nurses. The subjects of this study were 171 nurses working at general hospitals in city of Se, Ga, and Geu. Data analysis included frequency analysis, identification factor analysis, reliability analysis, measurement model analysis, model fit, and intervention effects. In the results of the study, nurse's perception of professionalism was influenced by factors of communication skills and understanding of the patient's condition, but not by their ability to solve problems. Understanding of patient's condition had a mediating effect on communication skills and nursing awareness. Communication skills and understanding of the patient's condition greatly influenced the nurse's perception of professionalism. To improve the professionalism of clinical nurses, nursing managers need to emphasize communication skills and understanding of the patient's condition. The purpose of this study was to provide a rationale for developing a program to improve job skills by strengthening the awareness of professional positions of clinical nurses to develop nursing quality of community.


Assuntos
Competência Clínica , Comunicação , Relações Enfermeiro-Paciente , Resolução de Problemas , Profissionalismo , Adulto , Feminino , Humanos , Masculino , Papel do Profissional de Enfermagem , Reprodutibilidade dos Testes
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