Reading and reflecting on experiential accounts of hospital patients to foster a person-centered care approach: A novel educational method

Background Innovative teaching methods are needed to ensure end-of-life care is provided by nurses through a person-centered approach. Aims This study was designed to (a) explore the self-identified impact of reading dying patient experiential narrative accounts on undergraduate nursing students; and (b) explore the teaching usefulness of patient experiential narrative accounts for enhanced undergraduate nursing student awareness of the need to provide person-centered end-of-life care. Methods Qualitative descriptive study, with 31 undergraduate nursing students reading experiential narrative accounts of dying patients and reflecting on them. A thematic analysis was carried out on the written student reflections. Descriptive statistics were used to summarize student socio-demographic data and their answers to questions on a reaction response sheet designed to assess how useful this activity had been from their perspective. Findings Three main themes were identified: (1) gaining an insightful understanding of the relationship between the nurse and the person with advanced-terminal illness; (2) gaining awareness of themselves as nurses in their clinical practice; (3) pointing out how nurses should behave and what they should do to place the person living with advanced-terminal illness at the center of nursing practice. Among all respondents, 87.09% of students thought this was a useful learning activity. Conclusions Reflecting on patient experiential accounts is an innovative teaching method, which help with nursing students value and gain insight into person-centered end-of-life care

The image of nursing in the media: A scoping review

Aim: To systematically review the available evidence from research exploring the image of nurses in the media. Background: Nurses have historically faced many challenges and have received media attention for such efforts. However, the image of nursing traditionally conveyed by media has failed to represent the real character and a positive image of the nursing profession. Review methods: For this scoping literature review, a search was conducted in PubMed, CINAHL, Scopus, PsycINFO, Web of Science and Dialnet to identify studies written in English, Spanish or Portuguese from the earliest date in the databases until February 2022. Four authors were involved in a two-stage screening process. Data were subjected to quantitative content analysis. A decade-by-decade analysis was performed to track the evolution of the research. Results: Sixty studies were included. The analysis shows (1) an increasing interest in analysing the portrayal of nurses and nursing in media over time, especially from 2000 onwards; (2) a prevailing trend of focusing on one form of media when analysing the portrayal of nurses; (3) qualitative designs as the most frequent method for exploring the image of nursing; and (4) a predominantly negative image conveyed by media. Conclusions: There is a notable body of scientific evidence about the image of nurses and nursing portrayed in media. The interest in analysing media depictions of nursing has a long history. The included studies' samples showed heterogeneity, as they were obtained from different media, periods and countries. Implications for nursing: This scoping review is the first systematic review to provide a comprehensive map of what has been studied thus far regarding media depictions of nursing. It confirms the imperative need for nurses in different settings (academic, assistance or management fields) to maintain a proactive attitude towards addressing images of nursing and ensuring accurate representations

Composición del ensamblaje de aves en una zona periurbana de Medellín, Colombia

Peri-urban areas have been documented as transitional zones between natural environments and urban areas, which are essential for the maintenance of the birdlife associated with large cities, even harboring high levels of species richness and diversity. In this work, the assemblages of birds in a peri-urban area of the municipality of Medellín (Colombia) is documented. This area has undergone a strong transformation of its natural cover in the last century and is considered of high interest for the conservation of ecosystem services on which the city depends. The study was carried out at the Remington University Veterinary Clinic, located in the town of Santa Elena. The avifauna records were obtained from capturing individuals with mist nets and direct observation in free walks carried out in August-September 2017, February-May 2018 and September 2020. Additionally, records for some species were derived from camera trap sampling, occasional sightings, and sound data. A total of 54 bird species belonging to 12 orders and 27 families were recorded, including two endemic species, one near-endemic and two migratory species. This work reports the presence of 35 species that had not been previously registered in published lists for the township, mainly species associated with open areas and forest edges. Obtained results highlight the importance of peri-urban areas for the diversity of local birdlife in large cities.Las áreas periurbanas han sido documentadas como zonas de transición entre ambientes naturales y zonas urbanas las cuales son fundamentales para el mantenimiento de la avifauna asociada a las grandes urbes, albergando incluso altos niveles de riqueza y diversidad de especies. En el presente trabajo es documentado el ensamblaje de aves en una zona periurbana del municipio de Medellín (Colombia), la cual, en el último siglo ha sufrido una fuerte transformación de su cobertura natural y es considerada de alto interés para la conservación de los servicios ecosistémicos de la ciudad. El estudio se llevó a cabo en la sede de prácticas de la Corporación Universitaria Remington, ubicada en el corregimiento de Santa Elena. El registro de la avifauna se realizó mediante la captura de individuos con redes de niebla y la observación directa en recorridos libres, llevados a cabo en muestreos en agosto-septiembre de 2017, febrero-mayo de 2018 y septiembre de 2020. Adicionalmente, registros para algunas especies fueron obtenidos del muestreo con cámaras trampa, avistamientos ocasionales y datos sonoros. Se registraron un total de 54 especies de aves pertenecientes a 12 órdenes y 27 familias, incluidas dos especies endémicas, una casi endémica y dos especies migratorias. Este trabajo reporta la presencia de 35 especies que no habían sido previamente registradas en listados publicados para el corregimiento, principalmente especies asociadas a áreas abiertas y zonas de bordes de bosque. Los resultados presentados resaltan la importancia de las áreas periurbanas en la diversidad de la avifauna local en las grandes ciudades

The relationship competencies guiding tool: a development, content validation and implementation study

Aim: The aims of this paper are (1) to present the results of the development, content validation and imple-mentation study of the Relationship Competencies Guiding Tool; (2) to provide examples of how each item in the tool is reflected in clinical narratives written by nurses and justify the corresponding scores after the evaluation; (3) to present how the language and content of the narratives are interpreted with the tool and to describe an exemplar; and (4) to present barriers to and facilitators of the application of the tool. Background: From a person-centered care approach, the fostering of authentic relationships with patients is key to achieving therapeutic benefits. Therefore, it is essential to help nurses establish meaningful relationships with patients and help them acquire these abilities. Clinical narratives can be used as a way to promote reflective practice and professional competency development among nurses. A tool to evaluate the knowledge, skills, at-titudes and values necessary for developing authentic encounters with patients through clinical narratives was developed, validated and implemented.Design: An instrument-development study comprised of three steps: (1) conceptualization; (2) item generation and content validity; and (3) implementation of the tool and linguistic evaluation.Methods: This study was conducted in three major steps. Step one entailed conceptualization. Step two included the generation of items and content validation. In step three, the tool was used to independently evaluate 25 narratives. One of these narratives was also linguistically analysed to provide a comprehensive view of the interpretative strategies deployed by evaluators.Results: The Relationship Competencies Guiding Tool was developed, validated and implemented. It could help nurses work on nursing relationship-based professional competencies, guided the evaluators in the process of assigning scores to the corresponding items and helped the researchers identify certain barriers and facilitators before and during the narrative evaluation process.Conclusions: The tool has been shown to be clear, relevant and conceptually and linguistically suitable for evaluating clinical narratives. The Relationship Competencies Guiding Tool could be applied to interpret how nurses reflect professional competencies in a clinical narrative as a preliminary step in the construction of a mea-surement tool.Tweetable abstract: From a person-centered relationship-based care approach, clinical narratives can be used to promote professional competencies between nurses. The Relationship Competencies Guiding Tool may help eval-uate the knowledge, skills, attitudes and values necessary for developing authentic encounters with persons/ families, as reflected by nurses' clinical narratives

Traducción y adaptación transcultural al contexto español del marco teórico Person-Centred Practice Framework

Background. Person-centered care has become a key global approach that seeks to provide answers to all factors of the complex health care-related processes. This has led to the development of theoreti-cal frameworks that represent the components of person-centered care. The internationally recognized Person-Centred Practice Framework (PCPF) (McCormack and McCance) allows multidisciplinary teams to understand and operationalize the dimensions for the development of person-centered care. The aim of this study was to obtain the first Spanish version of the PCPF translated and adapted to the Spanish con-text. Methods. We translated the PCPF following the Translation and cul-tural adaptation process for Patient-Reported Outcomes (PRO) Measures guidelines. A consulting session with experts was part of the process and content validation on clarity and relevance for each domain was performed. Results. We encountered no significant difficulties to reach agree-ments on most of the terms except for Having a sympathetic presence. Not only was a complex term to translate but also to trans-culturally adapt. Regarding relevance and clarity, the content index by construct (I-CVI) and the global framework (S-CVI/Ave) were consistent with their original counterparts (>= 0.90). Conclusions. The adapted Spanish version is clear, significant, and conceptually equivalent to the original PCPF. It will allow a better com-prehension of the person-centered practice framework in the Spanish context and facilitate the implementation of this approach in clinical practices

The sage Nightingale and Cassandra: Drafting the future of nursing

Background: In a period of hopelessness motivated by a restrictive Victorian society that confined women to the domestic realm, Florence Nightingale wrote the cathartic Cassandra (1852) in an attempt to trans- form her despair into rebellion. Aims: To discuss Nightingale’s approach to women’s role in Cassandra. Methods: Historical Research was used to analyse Cassandra. Data gathered from primary and secondary sources were synthesised and reported in terms of their historical context and significance. Findings: Adopting the genre of ‘sage writing’, Nightingale positions herself as a female messiah in an autoreferential narrative that projects women’s future possibilities for release. Discussion: Assuming the identity of a prophetic Greek heroine cursed to never be believed, Nightingale’s Cassandra claims professional work as the liberating solution for Victorian women. Conclusion: For the first time, Nightingale predicts in Cassandra some incipient prerequisites for a future nursing path for women’s change

The sage Nightingale and Cassandra: Drafting the future of nursing

Background: In a period of hopelessness motivated by a restrictive Victorian society that confined women to the domestic realm, Florence Nightingale wrote the cathartic Cassandra (1852) in an attempt to trans- form her despair into rebellion. Aims: To discuss Nightingale’s approach to women’s role in Cassandra. Methods: Historical Research was used to analyse Cassandra. Data gathered from primary and secondary sources were synthesised and reported in terms of their historical context and significance. Findings: Adopting the genre of ‘sage writing’, Nightingale positions herself as a female messiah in an autoreferential narrative that projects women’s future possibilities for release. Discussion: Assuming the identity of a prophetic Greek heroine cursed to never be believed, Nightingale’s Cassandra claims professional work as the liberating solution for Victorian women. Conclusion: For the first time, Nightingale predicts in Cassandra some incipient prerequisites for a future nursing path for women’s change

Reading and reflecting on experiential accounts of hospital patients to foster a person-centered care approach: A novel educational method

Background Innovative teaching methods are needed to ensure end-of-life care is provided by nurses through a person-centered approach. Aims This study was designed to (a) explore the self-identified impact of reading dying patient experiential narrative accounts on undergraduate nursing students; and (b) explore the teaching usefulness of patient experiential narrative accounts for enhanced undergraduate nursing student awareness of the need to provide person-centered end-of-life care. Methods Qualitative descriptive study, with 31 undergraduate nursing students reading experiential narrative accounts of dying patients and reflecting on them. A thematic analysis was carried out on the written student reflections. Descriptive statistics were used to summarize student socio-demographic data and their answers to questions on a reaction response sheet designed to assess how useful this activity had been from their perspective. Findings Three main themes were identified: (1) gaining an insightful understanding of the relationship between the nurse and the person with advanced-terminal illness; (2) gaining awareness of themselves as nurses in their clinical practice; (3) pointing out how nurses should behave and what they should do to place the person living with advanced-terminal illness at the center of nursing practice. Among all respondents, 87.09% of students thought this was a useful learning activity. Conclusions Reflecting on patient experiential accounts is an innovative teaching method, which help with nursing students value and gain insight into person-centered end-of-life care