Perceived quality of patient care is essential in healthcare, particularly in Hospital Emergency Departments (EDs), where the triage process, performed by nurses, is fundamental yet under-researched. The aim is to explore patient satisfaction in triage, identify improvement opportunities, and provide guidance for future research to enhance ED care.
Methodology
A scoping review was conducted across databases including PubMed, CINAHL, Scopus, Cochrane, Joanna Briggs, Google, and Google Scholar. Empirical articles from January 2014 to December 2023 were selected, excluding non-face-to-face triage, pediatrics, and aspects not related to nursing care.
Results
Six studies were included, demonstrating a high level of patient satisfaction with triage, especially regarding nurses’ skills and professional competence, courtesy, respect, interest, and empathy. However, pain management and confidence in treatment scored lower. Patient satisfaction was related to age, gender, reason for consultation, and perception of nurses’ professional competence.
Discussion
Similar opinions were observed regarding areas for improvement in care and nurses’ skills in triage. The need for qualitative research and more rigorous sampling methods was highlighted.
Conclusions
Nurse training and education in triage are crucial for patient satisfaction. Further research is needed to evaluate the effectiveness of nursing interventions in triage and address remaining challenges.
引言 病人护理质量对医疗保健至关重要，尤其是在医院急诊科（ED），由护士执行的分诊过程是最基本的，但对其研究不足。本研究旨在探讨患者对分诊过程的满意度，确定改进机会，并为今后的研究提供指导，以提高急诊科护理水平。研究方法 本研究对包括 PubMed、CINAHL、Scopus、Cochrane、Joanna Briggs、Google 和 Google Scholar 在内的数据库进行了范围性综述。结果共纳入六项研究，结果显示患者对分诊的满意度很高，尤其是对护士的技能和专业能力、礼貌、尊重、兴趣和同理心。然而，疼痛管理和对治疗的信心得分较低。患者的满意度与年龄、性别、就诊原因以及对护士专业能力的看法有关。结论护士在分诊方面的培训和教育对患者满意度至关重要。需要进一步开展研究，以评估分诊护理干预措施的有效性，并解决仍然存在的挑战。
{"title":"Satisfacción de los pacientes sobre la atención recibida por la enfermera en el triaje de los servicios de urgencias hospitalarios: revisión de alcance","authors":"Meritxell López-Hernández , Montserrat Puig-Llobet , Lidia Miralles-Sánchez , Yolanda Moreno-Mateos , Jordi Galimany-Masclans","doi":"10.1016/j.enfcli.2024.06.005","DOIUrl":"10.1016/j.enfcli.2024.06.005","url":null,"abstract":"<div><h3>Introduction</h3><div>Perceived quality of patient care is essential in healthcare, particularly in Hospital Emergency Departments (EDs), where the triage process, performed by nurses, is fundamental yet under-researched. The aim is to explore patient satisfaction in triage, identify improvement opportunities, and provide guidance for future research to enhance ED care.</div></div><div><h3>Methodology</h3><div>A scoping review was conducted across databases including PubMed, CINAHL, Scopus, Cochrane, Joanna Briggs, Google, and Google Scholar. Empirical articles from January 2014 to December 2023 were selected, excluding non-face-to-face triage, pediatrics, and aspects not related to nursing care.</div></div><div><h3>Results</h3><div>Six studies were included, demonstrating a high level of patient satisfaction with triage, especially regarding nurses’ skills and professional competence, courtesy, respect, interest, and empathy. However, pain management and confidence in treatment scored lower. Patient satisfaction was related to age, gender, reason for consultation, and perception of nurses’ professional competence.</div></div><div><h3>Discussion</h3><div>Similar opinions were observed regarding areas for improvement in care and nurses’ skills in triage. The need for qualitative research and more rigorous sampling methods was highlighted.</div></div><div><h3>Conclusions</h3><div>Nurse training and education in triage are crucial for patient satisfaction. Further research is needed to evaluate the effectiveness of nursing interventions in triage and address remaining challenges.</div></div>","PeriodicalId":46453,"journal":{"name":"Enfermeria Clinica","volume":null,"pages":null},"PeriodicalIF":0.7,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141845974","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-09-01DOI: 10.1016/j.enfcli.2024.06.003
Sara Furtado-Eraso, Blanca Marín-Fernández, Paula Escalada-Hernández
Losing a newborn is for many mothers a painful end in which death occurs when life is expected, which makes them live a time of loneliness, personal doubt and feeling of failure. After carrying out a previous qualitative study analyzing the experiences of 25 women who suffered a spontaneous perinatal loss at any time during pregnancy and a systematic review of the factors that affect the emotional response after perinatal losses, a nursing care proposal is presented based on Watson's Theory of Transpersonal Human Care to respond to the needs of women who experience this loss process. This care plan proposal is intended to achieve individualized care for women who suffer perinatal losses adapted to their needs, not only physical but also emotional.
{"title":"Propuesta de plan de cuidados de enfermería para mujeres que sufren pérdidas perinatales, según la teoría de Watson","authors":"Sara Furtado-Eraso, Blanca Marín-Fernández, Paula Escalada-Hernández","doi":"10.1016/j.enfcli.2024.06.003","DOIUrl":"10.1016/j.enfcli.2024.06.003","url":null,"abstract":"<div><div>Losing a newborn is for many mothers a painful end in which death occurs when life is expected, which makes them live a time of loneliness, personal doubt and feeling of failure. After carrying out a previous qualitative study analyzing the experiences of 25 women who suffered a spontaneous perinatal loss at any time during pregnancy and a systematic review of the factors that affect the emotional response after perinatal losses, a nursing care proposal is presented based on Watson's Theory of Transpersonal Human Care to respond to the needs of women who experience this loss process. This care plan proposal is intended to achieve individualized care for women who suffer perinatal losses adapted to their needs, not only physical but also emotional.</div></div>","PeriodicalId":46453,"journal":{"name":"Enfermeria Clinica","volume":null,"pages":null},"PeriodicalIF":0.7,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142527446","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-09-01DOI: 10.1016/j.enfcli.2024.10.001
R. Camacho-Bejarano, M. Lima-Serrano, H. González de la Torre, P. Fernández-Ortega, V. González-Chordá
{"title":"Transferencia de resultados en la práctica clínica y participación ciudadana en la investigación en cuidados: una integración necesaria","authors":"R. Camacho-Bejarano, M. Lima-Serrano, H. González de la Torre, P. Fernández-Ortega, V. González-Chordá","doi":"10.1016/j.enfcli.2024.10.001","DOIUrl":"10.1016/j.enfcli.2024.10.001","url":null,"abstract":"","PeriodicalId":46453,"journal":{"name":"Enfermeria Clinica","volume":null,"pages":null},"PeriodicalIF":0.7,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142527442","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
In addition to the economic and social impact, mental health issues are one of health needs during natural disaster such as earthquake. Thus, surveillance for mental health variables is crucial for public health planning. Nursing students as professional students may be particularly vulnerable to adverse mental health effects after an earthquake because of their potential role in emergency response and the challenges associated with providing medical care in crisis conditions. The aim of this research was to assess the mental health of students after six months of the Moroccan earthquake and associated factors.
Method
A cross-sectional survey of student nurses was conducted on March 2024; six months after the Moroccan earthquake in front to 261 students using class sampling method. Three validated psychometric measures, Post-Traumatic Stress Disorder (PCL-C), Depression, Anxiety and Stress Scale (DASS-21), and The Connor-Davidson Resilience Scale (CD-RISC) were used to assess the nursing student mental health after Moroccan earthquake.
Results
Anxiety, Depression, Stress and abnormal post-traumatic stress rank was present respectively in 44,8%, 37,1%, 7,7%, 61,3% of participants. However, a minority of students obtained the high resilience score (13,8%). The results showed that the DAS scale correlated negatively with age (p=0,034). Furthermore, the female gender, 3 rd grade students (as final year for the nursing diploma) and those who had lost a family member in the natural disaster obtained higher medians with a significant difference in the DAS scale score (p˂0.05). The post-traumatic stress scale was only affected by material damage (p = 0.044). However, the high level of scores resilience obtained significantly for students living with their families. In contrast, no association between the mental health of nursing students and attending the phenomenon or living near earthquake foci.
Conclusion
This study has demonstrated the crucial need to train healthcare providers in emotion management in the event of a natural disaster, and to launch a priori initiatives, particularly with regard to the mental health of students in health universities, in order to prepare them psychologically for any intervention in the case of an alert.
{"title":"Salud mental de los estudiantes de enfermería ante el terremoto de Marruecos: un estudio transversal","authors":"Mounia Amane , Nadia Hachoumi , Rkia Laabidi , Loubna Mazzi , Souad Yakini , Sokaina Loulidi , Siham Jbari , El Hassane Mourid , Samia Boussaa","doi":"10.1016/j.enfcli.2024.06.010","DOIUrl":"10.1016/j.enfcli.2024.06.010","url":null,"abstract":"<div><h3>Objective</h3><div>In addition to the economic and social impact, mental health issues are one of health needs during natural disaster such as earthquake. Thus, surveillance for mental health variables is crucial for public health planning. Nursing students as professional students may be particularly vulnerable to adverse mental health effects after an earthquake because of their potential role in emergency response and the challenges associated with providing medical care in crisis conditions. The aim of this research was to assess the mental health of students after six months of the Moroccan earthquake and associated factors.</div></div><div><h3>Method</h3><div>A cross-sectional survey of student nurses was conducted on March 2024; six months after the Moroccan earthquake in front to 261 students using class sampling method. Three validated psychometric measures, Post-Traumatic Stress Disorder (PCL-<span>C</span>), Depression, Anxiety and Stress Scale (DASS-21), and The Connor-Davidson Resilience Scale (CD-RISC) were used to assess the nursing student mental health after Moroccan earthquake.</div></div><div><h3>Results</h3><div>Anxiety, Depression, Stress and abnormal post-traumatic stress rank was present respectively in 44,8%, 37,1%, 7,7%, 61,3% of participants. However, a minority of students obtained the high resilience score (13,8%). The results showed that the DAS scale correlated negatively with age (p=0,034). Furthermore, the female gender, 3<!--> <!-->rd grade students (as final year for the nursing diploma) and those who had lost a family member in the natural disaster obtained higher medians with a significant difference in the DAS scale score (p˂0.05). The post-traumatic stress scale was only affected by material damage (p<!--> <!-->=<!--> <!-->0.044). However, the high level of scores resilience obtained significantly for students living with their families. In contrast, no association between the mental health of nursing students and attending the phenomenon or living near earthquake foci.</div></div><div><h3>Conclusion</h3><div>This study has demonstrated the crucial need to train healthcare providers in emotion management in the event of a natural disaster, and to launch a priori initiatives, particularly with regard to the mental health of students in health universities, in order to prepare them psychologically for any intervention in the case of an alert.</div></div>","PeriodicalId":46453,"journal":{"name":"Enfermeria Clinica","volume":null,"pages":null},"PeriodicalIF":0.7,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142527445","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-09-01DOI: 10.1016/j.enfcli.2024.07.003
Iria Quintela-Sánchez, Nieves Gasca-Roche, Tania Fernández-Merino, Laura Larena-Fernández, María López-Cabrejas, Josep Oriol Casanovas-Marsal
Objective
To assess, compare and relate the toddler's pain and anxiety during venipuncture by using either the Koala Attachment Distraction method or the physical restraint method and to evaluate the level of anxiety perceived by the companions in both groups.
Method
Randomised, single-blind, controlled clinical trial in two arms (control and intervention group) conducted in the paediatric emergency department of a tertiary university hospital. The study variables were pain and stress of the child and anxiety perceived by the accompanying persons in both groups at the time before and during the technique. The pain rating scale Face, Leg, Activity, Cry, Consolability; the Groningen stress scale and the STAI questionnaire were used.
Results
A total of 113 participants aged 3 to 4 years participated in the trial (n = 113). 50% (55) were girls, mean total age 3.83 ± 0.59 years and accompanying persons 37.17 ± 6.96. During the technique the mean pain in control and intervention groups was 5.64 ± 3.30 and 3.87 ± 3.01; stress, 3.25 ± 1.22 and 2.67 ± 1.24, respectively. No statistically significant differences were found in the assessment of anxiety between the groups.
Conclusions
Patients who underwent the Koala Attachment Distraction method venipuncture show a lower level of pain and anxiety than those who received physical restraint, and the anxiety perceived by the companion is similar in both groups.
{"title":"Venopunción en Urgencias Pediátricas mediante método de Distracción con Apego Koala: ensayo clínico aleatorizado","authors":"Iria Quintela-Sánchez, Nieves Gasca-Roche, Tania Fernández-Merino, Laura Larena-Fernández, María López-Cabrejas, Josep Oriol Casanovas-Marsal","doi":"10.1016/j.enfcli.2024.07.003","DOIUrl":"10.1016/j.enfcli.2024.07.003","url":null,"abstract":"<div><h3>Objective</h3><div>To assess, compare and relate the toddler's pain and anxiety during venipuncture by using either the Koala Attachment Distraction method or the physical restraint method and to evaluate the level of anxiety perceived by the companions in both groups.</div></div><div><h3>Method</h3><div>Randomised, single-blind, controlled clinical trial in two arms (control and intervention group) conducted in the paediatric emergency department of a tertiary university hospital. The study variables were pain and stress of the child and anxiety perceived by the accompanying persons in both groups at the time before and during the technique. The pain rating scale Face, Leg, Activity, Cry, Consolability; the Groningen stress scale and the STAI questionnaire were used.</div></div><div><h3>Results</h3><div>A total of 113 participants aged 3 to 4 years participated in the trial (n<!--> <!-->=<!--> <!-->113). 50% (55) were girls, mean total age 3.83<!--> <!-->±<!--> <!-->0.59 years and accompanying persons 37.17<!--> <!-->±<!--> <!-->6.96. During the technique the mean pain in control and intervention groups was 5.64<!--> <!-->±<!--> <!-->3.30 and 3.87<!--> <!-->±<!--> <!-->3.01; stress, 3.25<!--> <!-->±<!--> <!-->1.22 and 2.67<!--> <!-->±<!--> <!-->1.24, respectively. No statistically significant differences were found in the assessment of anxiety between the groups.</div></div><div><h3>Conclusions</h3><div>Patients who underwent the Koala Attachment Distraction method venipuncture show a lower level of pain and anxiety than those who received physical restraint, and the anxiety perceived by the companion is similar in both groups.</div></div>","PeriodicalId":46453,"journal":{"name":"Enfermeria Clinica","volume":null,"pages":null},"PeriodicalIF":0.7,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142527443","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-09-01DOI: 10.1016/j.enfcli.2024.03.007
Juan Pablo Leiva-Santos , Miguel Ángel Rodriguez-Calero , Joana María Julià-Mora
{"title":"Una aproximación a cómo atender los deseos de adelantar la muerte. Reflexiones en equipo","authors":"Juan Pablo Leiva-Santos , Miguel Ángel Rodriguez-Calero , Joana María Julià-Mora","doi":"10.1016/j.enfcli.2024.03.007","DOIUrl":"10.1016/j.enfcli.2024.03.007","url":null,"abstract":"","PeriodicalId":46453,"journal":{"name":"Enfermeria Clinica","volume":null,"pages":null},"PeriodicalIF":0.7,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142527447","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-09-01DOI: 10.1016/j.enfcli.2024.05.001
Javier Zarzo-Gasull , Rosa María García-Padilla , Pedro García-Martínez , Paola Méndez-Castellano , Juan Cava-Maldonado
Objectives
Identify nursing good practices related to caregivers in three basic health areas of the Valencian Community and analyze the impact of professional experience and the presence of a Nurse Case Manager on nursing good practices.
Method
Cross-sectional descriptive study. An anonymous, self-administered “ad hoc” questionnaire was used with 10 items: 8 individual and 2 institutional good practices. The independent variables were: work experience and the presence of a Nurse Case Manager. An analytical study was carried out using Chi square, Fisher and Mann-Whitney U tests, assuming p < 0.05 as a significant value.
Results
60 participants: 50 women, median age of 36 years and median experience of 4 years. 45 with experience ≥ 2 years and 23 worked in an environment with Nurse Case Manager.
The record of the caregiver was the only individual good practice carried out by more than 56% of the population, with the rest implemented by less than 20%. Pre- or post-pandemic experience did not show significant differences, the presence of Nurse Case Manager only showed differences in knowledge of training workshops and individual good practices were greater among professionals with more experience.
Conclusions
Individual good practices in caring for caregivers have low implementation, with better practices observed among professionals with more experience.
{"title":"Experiencia profesional y gestión de casos como predictores de buenas prácticas enfermeras dirigidas a la cuidadora principal","authors":"Javier Zarzo-Gasull , Rosa María García-Padilla , Pedro García-Martínez , Paola Méndez-Castellano , Juan Cava-Maldonado","doi":"10.1016/j.enfcli.2024.05.001","DOIUrl":"10.1016/j.enfcli.2024.05.001","url":null,"abstract":"<div><h3>Objectives</h3><div>Identify nursing good practices related to caregivers in three basic health areas of the Valencian Community and analyze the impact of professional experience and the presence of a Nurse Case Manager on nursing good practices.</div></div><div><h3>Method</h3><div>Cross-sectional descriptive study. An anonymous, self-administered “ad hoc” questionnaire was used with 10 items: 8 individual and 2 institutional good practices. The independent variables were: work experience and the presence of a Nurse Case Manager. An analytical study was carried out using Chi square, Fisher and Mann-Whitney U tests, assuming p<!--> <!--><<!--> <!-->0.05 as a significant value.</div></div><div><h3>Results</h3><div>60 participants: 50 women, median age of 36 years and median experience of 4 years. 45 with experience ≥ 2 years and 23 worked in an environment with Nurse Case Manager.</div><div>The record of the caregiver was the only individual good practice carried out by more than 56% of the population, with the rest implemented by less than 20%. Pre- or post-pandemic experience did not show significant differences, the presence of Nurse Case Manager only showed differences in knowledge of training workshops and individual good practices were greater among professionals with more experience.</div></div><div><h3>Conclusions</h3><div>Individual good practices in caring for caregivers have low implementation, with better practices observed among professionals with more experience.</div></div>","PeriodicalId":46453,"journal":{"name":"Enfermeria Clinica","volume":null,"pages":null},"PeriodicalIF":0.7,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142527444","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-09-01DOI: 10.1016/j.enfcli.2024.02.002
Objective
The study aimed to reveal the approaches to coping with stress of women with breast cancer and the factors predicting these approaches, to determine the prevalence and characteristics of Complementary and Alternative Medicine (CAM), and to examine the relationship between use of CAM and approaches to coping with stress.
Methods
A descriptive and cross-sectional study was conducted among 328 women with breast cancer at a training and research hospital in Türkiye. Data were collected with the Descriptive Information Form and the Stress Coping Styles Scale (SCSS).
Results
Women's SCSS score was 47.26 ± 6.39 (effective) and 37.76 ± 6.33 (ineffective). The SCSS score were not significantly different between CAM users and non-CAM users (P>.05). The prevalence of CAM use was 36%, the most common types of CAM were herbal products (55.1%) and prayer (33.8%) and the reasons for using CAM were for relaxation (symptomatic) (43.2%). As a result of multivariate logistic regression analysis, level of income, working, number of living children, receiving chemotherapy, receiving surgery, having a family history of cancer, and the interest of their partner after the disease were associated with effective coping with stress (P<.05, adjusted R2=.08, .05, and .33 respectively). Working, receiving chemotherapy, receiving surgery, stage of cancer, and having a history of cancer in a social environment were associated with ineffective coping with stress (P<.05, adjusted R2=.14 and .11 respectively).
Conclusions
One-third of women were using CAM and had a good level of approaches to coping with stress. Healthcare providers, especially gynecology-oncology nurses, should provide counseling on CAMs and develop strategies for coping with stress for women with breast cancer.
{"title":"Uso de la medicina complementaria y alternativa y enfoques para hacer frente al estrés en las mujeres con cáncer de mama: un estudio transversal","authors":"","doi":"10.1016/j.enfcli.2024.02.002","DOIUrl":"10.1016/j.enfcli.2024.02.002","url":null,"abstract":"<div><h3>Objective</h3><div>The study aimed to reveal the approaches to coping with stress of women with breast cancer and the factors predicting these approaches, to determine the prevalence and characteristics of Complementary and Alternative Medicine (CAM), and to examine the relationship between use of CAM and approaches to coping with stress.</div></div><div><h3>Methods</h3><div>A descriptive and cross-sectional study was conducted among 328 women with breast cancer at a training and research hospital in Türkiye. Data were collected with the <em>Descriptive Information Form</em> and the <em>Stress Coping Styles Scale</em> (SCSS).</div></div><div><h3>Results</h3><div>Women's SCSS score was 47.26<!--> <!-->±<!--> <!-->6.39 (effective) and 37.76<!--> <!-->±<!--> <!-->6.33 (ineffective). The SCSS score were not significantly different between CAM users and non-CAM users (<em>P</em>>.05). The prevalence of CAM use was 36%, the most common types of CAM were herbal products (55.1%) and prayer (33.8%) and the reasons for using CAM were for relaxation (symptomatic) (43.2%). As a result of multivariate logistic regression analysis, level of income, working, number of living children, receiving chemotherapy, receiving surgery, having a family history of cancer, and the interest of their partner after the disease were associated with effective coping with stress (<em>P</em><.05, adjusted R<sup>2</sup>=.08, .05, and .33 respectively). Working, receiving chemotherapy, receiving surgery, stage of cancer, and having a history of cancer in a social environment were associated with ineffective coping with stress (<em>P</em><.05, adjusted R<sup>2</sup>=.14 and .11 respectively).</div></div><div><h3>Conclusions</h3><div>One-third of women were using CAM and had a good level of approaches to coping with stress. Healthcare providers, especially gynecology-oncology nurses, should provide counseling on CAMs and develop strategies for coping with stress for women with breast cancer.</div></div>","PeriodicalId":46453,"journal":{"name":"Enfermeria Clinica","volume":null,"pages":null},"PeriodicalIF":0.7,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140756579","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-09-01DOI: 10.1016/j.enfcli.2024.01.005
Objective
This study aims to determine the moderator role of work experience in the impact of ethical culture perceptions of healthcare professionals on their whistleblowing tendencies. It is also to reveal the effect of organizational trust on whistleblowing.
Methods
The population of the study consists of health personnel working in the public or private sector in Turkey. The sample of the study consists of 481 health workers who voluntarily participated in the survey. Data were collected using the convenience sampling technique. In collecting data, whistleblowing, organizational trust, and ethical culture scales were used. In the analysis of the data, descriptive statistics, factor analysis, correlation analysis, and path analysis in the structural equation model were performed.
Results
The findings reveal that organizational trust has an impact on ethical culture and that some sub-components of organizational trust and ethical culture have an impact on whistleblowing. In addition, it has been determined that the group of health professionals with low work experience has a moderating role in the effect of applicability on internal whistleblowing.
Conclusion
To handle the whistleblowing mechanism internally in health institutions, it is important to clearly show the ethical rules to the employees. On the other hand, it has been seen that the professional experiences of the employees can be used as a tool for whistleblowing to work.
{"title":"El papel moderador de la experiencia laboral en el efecto de la cultura ética en la denuncia de irregularidades en los profesionales de la salud y el efecto de la confianza organizacional en la denuncia de irregularidades","authors":"","doi":"10.1016/j.enfcli.2024.01.005","DOIUrl":"10.1016/j.enfcli.2024.01.005","url":null,"abstract":"<div><h3>Objective</h3><div>This study aims to determine the moderator role of work experience in the impact of ethical culture perceptions of healthcare professionals on their whistleblowing tendencies. It is also to reveal the effect of organizational trust on whistleblowing.</div></div><div><h3>Methods</h3><div>The population of the study consists of health personnel working in the public or private sector in Turkey. The sample of the study consists of 481 health workers who voluntarily participated in the survey. Data were collected using the convenience sampling technique. In collecting data, whistleblowing, organizational trust, and ethical culture scales were used. In the analysis of the data, descriptive statistics, factor analysis, correlation analysis, and path analysis in the structural equation model were performed.</div></div><div><h3>Results</h3><div>The findings reveal that organizational trust has an impact on ethical culture and that some sub-components of organizational trust and ethical culture have an impact on whistleblowing. In addition, it has been determined that the group of health professionals with low work experience has a moderating role in the effect of applicability on internal whistleblowing.</div></div><div><h3>Conclusion</h3><div>To handle the whistleblowing mechanism internally in health institutions, it is important to clearly show the ethical rules to the employees. On the other hand, it has been seen that the professional experiences of the employees can be used as a tool for whistleblowing to work.</div></div>","PeriodicalId":46453,"journal":{"name":"Enfermeria Clinica","volume":null,"pages":null},"PeriodicalIF":0.7,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140760340","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-09-01DOI: 10.1016/j.enfcli.2024.03.003
Objective
The aim of this study is to analyze the levels of nurses-patients interaction, as well as the humanistic practices in the field of nurse's care.
Method
This cross-sectional and correlational study was conducted with 291 nurses in Istanbul between May-August 2022. The dates were collected using the Personal Information Form, Caring Nurse-Patient Interaction-Short Form (CNPI), and Humanistic Practice Ability of Nursing (HPAN).
Results
Nurses’ mean scores from the importance, competence, and feasibility variables of the CNPI were 104.33 ± 12.56, 99.66 ± 13.99, and 96.90 ± 15.26, respectively. The mean score from the HPAN was 133.75 ± 11.75.
Conclusion
Based on the correlation, the importance, competence, and feasibility variables of CNPI were significantly associated with humanistic practice ability.
{"title":"Impacto de los niveles de interacción enfermera-paciente en la práctica humanística de enfermería: estudio transversal, descriptivo y correlacional","authors":"","doi":"10.1016/j.enfcli.2024.03.003","DOIUrl":"10.1016/j.enfcli.2024.03.003","url":null,"abstract":"<div><h3>Objective</h3><div>The aim of this study is to analyze the levels of nurses-patients interaction, as well as the humanistic practices in the field of nurse's care.</div></div><div><h3>Method</h3><div>This cross-sectional and correlational study was conducted with 291 nurses in Istanbul between May-August 2022. The dates were collected using the Personal Information Form, Caring Nurse-Patient Interaction-Short Form (CNPI), and Humanistic Practice Ability of Nursing (HPAN).</div></div><div><h3>Results</h3><div>Nurses’ mean scores from the importance, competence, and feasibility variables of the CNPI were 104.33<!--> <!-->±<!--> <!-->12.56, 99.66<!--> <!-->±<!--> <!-->13.99, and 96.90<!--> <!-->±<!--> <!-->15.26, respectively. The mean score from the HPAN was 133.75<!--> <!-->±<!--> <!-->11.75.</div></div><div><h3>Conclusion</h3><div>Based on the correlation, the importance, competence, and feasibility variables of CNPI were significantly associated with humanistic practice ability.</div></div>","PeriodicalId":46453,"journal":{"name":"Enfermeria Clinica","volume":null,"pages":null},"PeriodicalIF":0.7,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141031594","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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