Effects of nurse-patient relationship on the health of patients. (original) (raw)
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Nursing_Vol3_Issue2_Article_10.pdf
The shortage of nurses is a problem that is common everywhere in the world. Nurses form the largest number in the healthcare system and play a significant role in providing direct patient care. Considering the importance of the role of nurses in the healthcare system, it is important to investigate how nursing shortage affects the quality of patient care, nurses' job satisfaction and their work stress. Zambia is not an exception to this scourge, most hospitals face this challenge of nursing shortage. One such Hospital is St. Dominic's Mission Hospital located in the outskirts of Ndola.
GSTF Journal of Nursing and Health Care, 2017
Background: The research regarding nursing diagnosis and collaboration problems were not very often conducted in Indonesia. Therefore, it is need to establish researches in standardized nursing language. Aims. The aim of this research was identified the nursing diagnosis and problem collaborations among hospitalized patients in University of Sumatera Utara Hospital, Indonesia. Method. This study is a quantitative research with crosssectional approach. The data collection conducted through the nursing assessment with six steps of diagnostic reasoning method. The sampling technique was total sampling which involved hospitalized patients from March until May 2016; consisting 72 patients in inpatients unit which 19 pediatric patients, 36 adult patients, six maternity patients and 11 intensive care unit patients. The data analysis was frequency distribution from nursing diagnosis and problem collaborations. Result. The result revealed that there were 38 nursing diagnosis and collaborative problems found among pediatric patients, 56 nursing diagnosis and collaborative problems found among adult patients, 47 nursing diagnosis and collaborative problems found among intensive care patients and only eight nursing diagnosis found among maternity patients. The risk for infection was the most common nursing diagnosis among pediatric and maternity patients with thrombocytopenia as the most common collaborative problem found among pediatric patients. Acute pain was the first rank of nursing diagnosis found among adult patients. And, bleeding was the main problem collaboration. The risk for disuse syndrome was the most nursing diagnosis established among patients in intensive care unit, with pneumothorax as the common collaborative problem. Conclusion: It was found that the most common nursing diagnosis found among hospitalized patients was the risk for infection with various collaborative problems. Therefore, it is needs to establish infection precaution in every unit in the future. In fact, the nursing intervention regarding the infection control should be done in every unit.
The Importance of Knowing the Patient
Issues in Mental Health Nursing, 2011
Expected or unexpected, when it occurs, hospitalization is a major life event for most people-an event that emphasizes one's illness and vulnerability. Patients hospitalized in general hospital settings are likely to feel anxious as they deal with a foreign environment that removes personal power and control and imposes unfamiliar routines, structures, and rules. Nurses are the "primary providers" of care in general hospital settings and are responsible for determining nursing care needs, managing patient risk, and coordinating care. Hospitalized patients' outcomes are largely dependent on how well nurses are able to perform these roles. The level of nurse staffing, the educational preparation of nurses, and the quality of the practice environment contribute to nursing effectiveness and affect nurse-sensitive patient outcomes (Aiken, Clarke, Sloane, Lake, & Cheney, 2008). In addition, patient satisfaction scores are increasingly included as important hospitalization outcome measures, and perceptions of nursing care, specifically the quality of nurse-patient relationships, are strongly related to overall patient satisfaction ratings as well as hospital quality and safety measures (Issaac, Zaslavsky, Cleary, & Landon, 2010). Nurses have a powerful role in influencing the health outcomes of hospitalized patients. Yet, in the contemporary acute care hospital, nurses struggle to meet patient care needs within the demands of a complex and rapidly changing environment. Complexity compression, environmental turbulence, and workload stacking are a few of the phenomena described in the literature representative of this dynamism and affecting nurses' ability to perform their roles safely and effectively.
Patient safety can define as liberty from accidental injury, focusing in the specific processes, working practices and activities in systematic manner those are able to minimize or protect the available risk of harm to patients. This particular topic has become global agenda and various countries such as England, Australia, the USA, Canada and other developed countries have established national bodies to manage and maintain patients' safety. And they are also focusing on nursing profession for the purpose to maintain effective level of safety of patients. Nursing profession plays important role in development and maintenance of safety of patients. Therefore this coursework has conducted for the purpose to define role of nurses to increase and maintain patients' safety in health care organizations. Role of nursing in health care organizations have defined on behalf of nursing leadership, nursing collaboration and nursing empowerment. Obtained findings have presented that nurse plays important role in the safety of patients and therefore leadership, collaboration and empowerment in the field of nursing are able to enhance safety of patients in significant manner. Leadership of nursing is able to increase patients' safety; further nursing collaboration enhanced team work with other nurses and physicians and also avoids adverse impacts of treatments. Finally empowerment of nursing provides increased and clear information about the patients by nurse to physicians. Hence all three aspects are important to enhance safety of patients. Healthcare organizations should focus to enhance nursing leadership, collaboration and empowerment for the purpose to achieve better outcomes in health care organization in terms of increased and enhanced safety of patients.
Comfort of Hospitalized Patients: A Missed Concept
2006
Background & Aim: Historically, comfort has been an optimal outcome in caring of hospital patients though, the concept of comfort from patients' perspective is rarely assessed. The aim of this study was to explore hospitalized Medical-Surgical patients' experiences and perceptions regarding of comfort and discomfort. Material & Method: A qualitative approach using grounded theory was adopted in this study. The data collected by semi-structured interviews and participants' observation, from a purposive sample of 31 medical-surgical patients, with 11 patients' accompanied relatives who were subjected to questions and constant comparative analysis. This study was conducted in five large teaching and semi-private hospitals in Iran. Result: Date analysis covered a number of themes obviously included discomfort. In fact, experiencing discomfort was so persistent in the data, that it formed several categories including "physical, psychosocial and environmental discomfort". Self help and organizing of informal caring web, and seeking help from others, were the participants' main strategies to deal with discomfort. Conclusion: The finding indicated that hospitalization of patients is not always necessarily equivalent to effective deal with caring and therapeutic needs. Patients experience a lot of distress related to hospital's policies, regulations and priorities. Patients can have active role for discomfort management. In addition, it is highlited the roles of patients' relative and care-givers in hospitals. Therefore, without cooperation of care-givers (patients' relatives), the quality of nursing care could be disturbed seriously.
Turkiye Klinikleri Journal of Nursing, 2016
ursing is a dynamic process that serves to develop, maintain, and improve individuals and communities' health. A therapeutic nurseclient relationship is a critical part of providing patient-centred Assessment of Levels of Empathic Skills and Autonomy of Nurses Working in Medical and Surgical Units A AB BS ST TR RA AC CT T O Ob bj je ec ct ti iv ve e: : This study evaluated the empathic skills and autonomy levels of nurses working in medical and surgery wards, and the factors associated with those skills. M Ma at te er ri ia al l a an nd d M Me et th ho od ds s: : This was descriptive research. A random sample of nurses working in the medical and surgery wards, intensive care unit, and emergency clinics of a private hospital in Istanbul (n= 202) voluntarily completed the survey form. The data were collected using Empathic Skill Scale and Sociotropy-Autonomy Scale. R Re es su ul lt ts s: : The mean age of sample was 26.78±5.27, and most were graduates from vocational high school of health sciences. The sample had 0-3 years' experience in the profession and worked in surgery wards. Empathic communication skills, and autonomous and sociotropic personality traits of nurses working in medical and surgery wards, intensive care unit, and emergency clinics were moderate. The empathic skill levels of nurses were higher for nurses who are female, who had high education levels, who worked as responsible nurses, who worked in surgery wards, who followed professional publications, and who attended empathy trainings. C Co on nc cl lu us si io on n: : It is recommended that specialist nurses be preferred as unit manager nurses and plan the empathy training courses for nurses after graduation. K Ke ey y W Wo or rd ds s: : Nurses; communication; empathy Ö ÖZ ZE ET T A Am ma aç ç: : Araştırma, iç hastalıkları ve cerrahi servislerinde çalışan hemşirelerin empatik beceri düzeyleri ile otonomi düzeylerinin değerlendirilmesi ve bunlarla ilişkili faktörlerin belirlenmesi amacıyla gerçekleştirildi. G Ge er re eç ç v ve e Y Yö ön nt te em ml le er r: : Tanımlayıcı tipte bir araştırmadır. İstanbul ilinde bir özel hastanenin iç hastalıkları ve cerrahi servisleri, yoğun bakım ünitesi ve acil kliniklerde çalışan ve araştırmaya katılmaya gönüllü, anket formunu eksiksiz dolduran 202 hemşire ile yürütüldü. Örneklem rastgele örnekleme yöntemi ile oluşturuldu. Veriler Empatik Beceri Ölçeği ve Sosyotropi-Otonomi Ölçeği kullanılarak elde edildi. B Bu ul lg gu ul la ar r: : Yaş ortalaması 26,78±5,27 olan hemşire örneklemin çoğu sağlık meslek lisesi mezunudur. Örneklemin meslekte 0-3 yıllık deneyimi olduğu ve cerrahi servislerinde çalıştığı saptandı. İç hastalıkları, cerrahi, yoğun bakım ve acil kliniklerinde çalışan hemşirelerin empatik iletişim becerileri, otonomik ve sosyotropik kişilik özellikleri orta düzeyde bulundu. Kadın hemşirelerin, eğitim düzeyi yüksek, sorumlu hemşire olarak çalışan, cerrahi birimlerinde çalışan, mesleki yayınları takip eden hemşirelerin ve empati eğitimi alan hemşirelerin empatik beceri düzeyleri daha yüksek bulundu. S So on nu uç ç: : Birim yöneticisi hemşirelerin seçiminde uzman hemşirelerin tercih edilmesi, mezuniyet sonrası dönemde hemşirelere yönelik empati eğitimlerinin planlanması önerilmektedir.
Physiological needs of immobilized patients as perceived by family members
Manipal Journal of Nursing and Health Sciences, 2019
Introduction: The term family caregiver which is associated with informal caregiver refers to an unpaid dear, friend or neighbour, who provides care to a person having an associated acute or chronic condition and desires to manage a variety of tasks, from simple ones such as bathing, dressing, and taking medications to nasogastric tube feeding and ventilator care. Objective: The objectives were to assess the perception of family members regarding psychological needs of immobilized patients. Methods and material: A descriptive survey was undertaken to assess the perception of family members regarding physiological needs of immobilized patients admitted to a selected hospital of Dehradun. A total 147 study participants were selected by purposive sampling technique and data were collected by using a structured questionnaire. Results: Result showed that majority (70.74%) of the participants were between 18-37 year, almost three fourth (71.40%) of the participants were male, most (50.34%) of the participants had higher secondary education, almost two-third (60.54%) of participants belonged to nuclear family, less than half (44.22%) participants were having children relationship with their patient, more than half (53.06%) participants were working in a service sector, more than half (56.47%) participants were having monthly income more than 10,000 rupees and approximate one third (39.46%) participants were having previous experience of hospitalization. Through structured questionnaire it was found that majority (73.2%) of family members preferred bland diet for their patient, most (81.2%) family members preferred boiled water for their patient, more than half (53.7%) of the family members perceived that six hours of sleep is sufficient for their patient, approximately three fourth (70.5%) family members perceived that massage is the only non-pharmacological intervention they would like to use to manage their patient's pain, less than half (40.9%) of the family members perceived that frequent back care will prevent their patient from developing bedsores and every alternate (49.7%) family member thought that hand hygiene is the effective way to prevent infection from patient. Conclusion: The study concluded that if health care professionals collaborate and identify the physiological needs, which are perceived by family members who are taking care of the patient in hospital, they can improve the quality of care which a patient needs to recover fast.
Nurse-Patient Relationship In Health Care Delivery In Koforidua Regional Hospital
Journal of Biology Agriculture and Healthcare, 2013
Caring for patients is paramount to nursing and all the paramedics and workers at the Koforidua Regional hospital should care for patients and be ready to help them. The hospital should be a place where people will be ready and willing to visit and as a public hospital the authorities should be able make it a place of choice. During the research, questionnaires were administered and 319 respondents responded to the questionnaire. The purposive and accidental sampling methods were employed for the studies and SPSS software was used to generate the results. With this research, it came to that that more of the female and youth responded to the questionnaire. It also came to light that the nurses are polite and talk nicely to patients but the patients are not happy with the time and the process they go through before they create a new folder or collect their folders. Also, the patients are not aware of any channel or avenue to air their grievances. It was recommended that the nurses should be given training on patients care and also a section should be created where patients could air their grievances.
BMJ, 2008
We select the letters for these pages from the rapid responses posted on bmj.com favouring those received within five days of publication of the article to which they refer. Letters are thus an early selection of rapid responses on a particular topic. Readers should consult the website for the full list of responses and any authors' replies, which usually arrive after our selection. mark thomas Continuous deep sedation Please, don't forget ethical responsibilities Alastair Bint general practitioner, st luke's surgery,