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Patient satisfaction with nursing triage care in hospital emergency departments: Scoping review 患者对医院急诊科分诊护理的满意度:范围审查。
Pub Date : 2024-09-01 DOI: 10.1016/j.enfcle.2024.09.004
Meritxell López-Hernández , Montserrat Puig-Llobet , Lidia Miralles-Sánchez , Yolanda Moreno-Mateos , Jordi Galimany-Masclans

Introduction

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.
简介患者对护理质量的感知在医疗保健中至关重要,尤其是在医院急诊科(ED)中,由护士执行的分诊过程是最基本的,但研究却不足。本研究旨在探讨患者对分诊过程的满意度,确定改进机会,并为今后加强急诊科护理的研究提供指导:方法:在PubMed、CINAHL、Scopus、Cochrane、Joanna Briggs、Google和Google Scholar等数据库中进行了范围审查。选取了 2014 年 1 月至 2023 年 12 月期间的经验性文章,排除了非面对面分诊、儿科以及与护理无关的方面: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。病人的满意度与年龄、性别、就诊原因和对护士专业能力的看法有关:讨论:在护理有待改进的方面和护士的分诊技能方面,观察到了类似的意见。结论:护士在分诊方面的培训和教育需要进一步加强: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。
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引用次数: 0
Impact of nurse-patient interaction levels on nurses’ humanistic practice: A cross-sectional, descriptive, and correlational study 护患互动水平对人文护理实践的影响:一项横断面、描述性和相关性研究。
Pub Date : 2024-09-01 DOI: 10.1016/j.enfcle.2024.09.001
Merve Murat , Selmin Köse , Nezihe Kızılkaya Beji

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 los datos 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.
研究目的本研究旨在分析护士与患者之间的互动水平,以及护士护理领域的人文实践方法:本横断面相关研究于 2022 年 5 月至 8 月间在伊斯坦布尔对 291 名护士进行了调查。研究使用个人信息表、关爱护士-患者互动简表(CNPI)和护理人文实践能力(HPAN)收集数据:护士在 CNPI 的重要性、能力和可行性变量中的平均得分分别为 104.33 ± 12.56、99.66 ± 13.99 和 96.90 ± 15.26。HPAN的平均得分为(133.75 ± 11.75):根据相关性,CNPI 的重要性、胜任力和可行性变量与人文实践能力显著相关。
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引用次数: 0
The moderating role of work experience in the effect of ethical culture on whistleblowing in healthcare professionals and the effect of organizational trust on whistleblowing 工作经验在伦理文化对医疗保健专业人员举报行为的影响以及组织信任对举报行为的影响中的调节作用。
Pub Date : 2024-09-01 DOI: 10.1016/j.enfcle.2024.04.003

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.
本研究旨在确定工作经验在医护人员的道德文化观念对其举报倾向的影响中所起的调节作用。方法研究对象包括在土耳其公共或私营部门工作的医务人员。研究样本包括 481 名自愿参与调查的卫生工作者。数据收集采用方便抽样技术。在收集数据时,使用了举报、组织信任和道德文化量表。结果研究结果表明,组织信任对道德文化有影响,组织信任和道德文化的一些子成分对举报有影响。此外,还确定了工作经验较少的卫生专业人员群体在适用性对内部举报的影响中具有调节作用。另一方面,我们也看到,员工的职业经验可以作为举报工作的工具。
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引用次数: 0
Venipuncture in pediatric emergency department by using Koala Attachment Distraction method: Randomized clinical trial 在儿科急诊室使用考拉牵引法进行静脉穿刺:随机临床试验
Pub Date : 2024-09-01 DOI: 10.1016/j.enfcle.2024.09.007
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.
目的通过使用考拉依恋分散法或物理约束法评估、比较和联系幼儿在静脉穿刺时的疼痛和焦虑,并评估两组陪护人员感知到的焦虑程度:随机、单盲、对照临床试验,分为两组(对照组和干预组),在一所三级大学医院的儿科急诊室进行。研究变量为两组陪护人员在技术实施前和实施过程中感受到的患儿疼痛、压力和焦虑。研究使用了疼痛评分量表 "面部、腿部、活动、哭泣、安慰"、格罗宁根压力量表和 STAI 问卷:共有 113 名 3 至 4 岁的参与者参加了试验(n = 113)。女孩占 50%(55 人),平均年龄(3.83 ± 0.59)岁,陪同人员(37.17 ± 6.96)人。在技术过程中,对照组和干预组的平均疼痛分别为 5.64 ± 3.30 和 3.87 ± 3.01;压力分别为 3.25 ± 1.22 和 2.67 ± 1.24。两组之间的焦虑评估差异无统计学意义:结论:与接受物理约束的患者相比,接受考拉依恋分散法静脉穿刺的患者疼痛和焦虑程度较低,两组患者的陪护所感受到的焦虑程度相似。
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引用次数: 0
Professional experience and case management as predictors of nursing good practices directed to the primary caregiver 专业经验和个案管理是针对主要护理人员的良好护理实践的预测因素。
Pub Date : 2024-09-01 DOI: 10.1016/j.enfcle.2024.09.003
Javier Zarzo-Gasull , Rosa María García-Padilla , Pedro García-Martínez , Paola Méndez-Castellano , Juan Cava-Maldonado

Aims

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.
目的:确定巴伦西亚社区三个基本保健领域中与护理人员相关的良好护理实践,并分析专业经验和护士个案经理的存在对良好护理实践的影响:横断面描述性研究。采用匿名、自填的 "特别 "问卷,共有 10 个项目:其中 8 项为个人良好实践,2 项为机构良好实践。自变量为:工作经验和是否有护士个案管理员。分析研究使用了 Chi Square、Fisher 和 Mann-Whitney U 检验,假设 p 为结果:60 名参与者:50 名女性,年龄中位数为 36 岁,工作经验中位数为 4 年。45人的工作经验≥2年,23人在有护士个案经理的环境中工作。护理人员记录是 56% 以上的人实施的唯一一项个人良好做法,其余实施者不到 20%。疫情发生前或发生后的经验并没有显示出明显的差异,是否有护士个案管理员只显示出培训讲习班知识的差异,而经验丰富的专业人员采用的个人良好做法更多:结论:在照顾护理人员方面,个人良好做法的实施率较低,经验丰富的专业人员的做法较好。
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引用次数: 0
The use of complementary and alternative medicine and approaches to coping with stress in women with breast cancer: a cross-sectional study 乳腺癌妇女使用辅助和替代医学以及应对压力的方法:一项横断面研究。
Pub Date : 2024-09-01 DOI: 10.1016/j.enfcle.2024.04.007

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>0.05). 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<0.05, adjusted R2=0.08, 0.05, and 0.33 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<0.05, adjusted R2=0.14 and 0.11 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.
研究旨在揭示乳腺癌女性患者应对压力的方法以及预测这些方法的因素,确定补充和替代医学(CAM)的流行程度和特点,并研究CAM的使用与应对压力方法之间的关系。方法在土耳其一家培训和研究医院的328名乳腺癌女性患者中开展了一项描述性横断面研究。通过 "描述性信息表 "和 "压力应对方式量表(SCSS)"收集数据。结果妇女的 SCSS 得分为 47.26±6.39(有效)和 37.76±6.33(无效)。使用 CAM 的女性与未使用 CAM 的女性在 SCSS 评分上无明显差异(p>0.05)。使用 CAM 的比例为 36%,最常见的 CAM 类型是草药产品(55.1%)和祈祷(33.8%),使用 CAM 的原因是放松(对症)(43.2%)。多变量逻辑回归分析结果显示,收入水平、工作、在世子女数量、接受化疗、接受手术、有癌症家族史以及伴侣在患病后的兴趣与有效应对压力有关(p<0.05,调整后的 R2 分别为 0.08、0.05 和 0.33)。工作、接受化疗、接受手术、癌症分期以及在社会环境中有癌症病史与无效应对压力有关(p<0.05,调整后的 R2 分别为 0.14 和 0.11)。医护人员,尤其是妇科肿瘤科护士,应为乳腺癌妇女提供 CAMs 咨询,并制定应对压力的策略。
{"title":"The use of complementary and alternative medicine and approaches to coping with stress in women with breast cancer: a cross-sectional study","authors":"","doi":"10.1016/j.enfcle.2024.04.007","DOIUrl":"10.1016/j.enfcle.2024.04.007","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 (SCSS)”.</em></div></div><div><h3>Results</h3><div><span>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&gt;0.05). The prevalence of CAM use was 36%, the most common types of CAM were herbal products<span> (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&lt;0.05, adjusted R</span></span><sup>2</sup>=0.08, 0.05, and 0.33 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&lt;0.05, adjusted R<sup>2</sup>=0.14 and 0.11 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":72917,"journal":{"name":"Enfermeria clinica (English Edition)","volume":"34 5","pages":"Pages 386-401"},"PeriodicalIF":0.0,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140756378","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}
引用次数: 0
Transfer of results into clinical practice and citizen participation in health care research 将成果转化为临床实践和公民参与医疗保健研究
Pub Date : 2024-09-01 DOI: 10.1016/j.enfcle.2024.10.001
Camacho-Bejarano R, Lima-Serrano M, González de la Torre H, Fernández-Ortega P, González-Chordá V
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引用次数: 0
Proposed nursing care plan for women who suffer a perinatal loss, according to Watson’s theory 根据 Watson 的理论,针对围产期丧子妇女的护理计划建议。
Pub Date : 2024-09-01 DOI: 10.1016/j.enfcle.2024.09.006
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.
失去新生儿对许多母亲来说都是一个痛苦的结局,在期待生命到来的时候却发生了死亡,这让她们生活在孤独、个人怀疑和失败感中。在对 25 名在妊娠期间任何时候自发失去围产期孩子的妇女的经历进行了定性研究分析,并对影响围产期孩子失去后情绪反应的因素进行了系统回顾后,根据华生的超个人人类护理理论提出了护理建议,以满足经历这一失去孩子过程的妇女的需求。该护理计划建议旨在为围产期丧偶的妇女提供个性化护理,以满足她们的需求,不仅是身体上的需求,还有情感上的需求。
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引用次数: 0
Mental health of nursing students regarding the Moroccan earthquake: A cross-sectional study 摩洛哥地震中护理专业学生的心理健康:横断面研究。
Pub Date : 2024-09-01 DOI: 10.1016/j.enfcle.2024.09.002
Mounia Amane , Nadia Hachoumi , Rquia Laabidi , Loubna Mazzi , Souad Yakini , Sokaina Loulidi , Siham Jbari , El Hassane Mourid , Samia Boussaa

Objective

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, 3rd 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.
目的:除了经济和社会影响之外,心理健康问题也是地震等自然灾害期间的健康需求之一。因此,监测心理健康变量对公共卫生规划至关重要。作为专业学生的护理专业学生可能特别容易在地震后受到不良心理健康影响,因为他们可能在应急响应中扮演重要角色,而且在危机条件下提供医疗护理也是一项挑战。本研究旨在评估摩洛哥地震六个月后学生的心理健康状况及相关因素:采用班级抽样方法,于 2024 年 3 月摩洛哥地震六个月后对 261 名学生护士进行了横向调查。结果:焦虑、抑郁、压力和创伤后应激障碍(PCL-C)、抑郁、焦虑和压力量表(DASS-21)以及康纳-戴维森复原力量表(CD-RISC)这三种经过验证的心理测量方法被用于评估摩洛哥地震后护理专业学生的心理健康状况:结果:44.8%、37.1%、7.7% 和 61.3%的参与者存在焦虑、抑郁、压力和异常创伤后应激反应等级。然而,少数学生获得了较高的复原力分数(13.8%)。结果显示,DAS量表与年龄呈负相关(p = 0.034)。此外,女性、三年级学生(作为护理文凭的最后一年)和在自然灾害中失去家人的学生的 DAS 量表得分中值较高,且差异显著(p 结论:本研究表明,在自然灾害中失去家人的学生的抗灾能力极有必要得到提高:这项研究表明,亟需对医护人员进行自然灾害情况下的情绪管理培训,并推出先期举措,特别是针对卫生大学学生的心理健康,以便他们在警报发生时做好心理准备,以便采取任何干预措施。
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引用次数: 0
Approaching the attention to the wish to hustle death. Team reflections 走近关注希望喧嚣的死亡。团队反思。
Pub Date : 2024-09-01 DOI: 10.1016/j.enfcle.2024.09.005
Juan Pablo Leiva-Santos , Miguel Ángel Rodriguez-Calero , Joana María Julià-Mora
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引用次数: 0
期刊
Enfermeria clinica (English Edition)
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