Patient’s Perception of Safety in the Hospital Settings: A Qualitative Systematic Review

Introduction: Patient safety is a key indicator and element in securing quality healthcare and this goal is multi-step, systemic, and multidisciplinary. The aim of the study was to investigate the meanings and definitions of “feeling of safety” in patient’s view and experiences during their hospital stay and to identify the antecedents and consequences of the concept.Methods: This qualitative systematic review was carried out based on the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) 2009. Six databases (PubMed, Web of Science, Scopus, ProQuest, Embase, Cochrane) were searched up to 2019 with no time and language limit. Two authors individually evaluated the study quality using Joanna Briggs Institute Qualitative Assessment and Review Instrument (JBI-QARI). Data from studies meeting the inclusion criteria were analyzed with concept analysis using of Walker and Avant approach (2011).Results: Twenty-five papers were included in this study. Data analysis resulted finally in eleven main categories: “receiving safe care”, “appropriate physical environment”, “resorting to spirituality”, “having previous negative experiences”, and “presence of family and friends”, “Feeling of Protection in a Safe Place”, “Emotional Enrichment and Confidence”, “Comfort and Tranquility”, “Feeling of Control on the Situation”, “Optimism towards Life” and “Coping”.Conclusions: Safe care is one of the fundamental needs in creating feeling of safety in patients. Focusing on this type of patient-centered care may promote quality care and improve the treatments provided in the hospital setting

Hope measurement questionnaire for family members of patients admitted to intensive care units

BACKGROUND: Since the concept of hope in the family members of patients admitted to the intensive care unit (ICU) is of particular importance and the role of this concept in the health of this group of people is evident, it seems that a valid and reliable scale for measuring this concept is necessary. The purpose of this study was to design a hope measurement questionnaire for family members of patients admitted to the ICU of Besat Hospital in Sanandaj, Iran.METHODS: The families of patients in the ICUs were selected using the convenience sampling method and completed the "Hope Questionnaire" along with demographic characteristics questionnaire and Beck Depression Inventory (BDI) (criterion scale). The validity of the instrument was determined by construct validity and criterion validity and the reliability was evaluated through calculation of internal correlation coefficient and test-retest. Data were analyzed by factor analysis, correlation coefficients, and Cronbach's alpha.RESULTS: The items having the most factor loading were named based on the nature and size of the variables from which the extracted factors had the most share. First factor, including 15 items alone, represented 14.867% of the total variance and was named "Optimistic Thinking towards the Future" and the second factor, representing 14.666% of the total variance, was named "Pessimistic Thinking towards the Future" which had 7 items. The correlation between the scores of Hope Scale and the BDI, which was performed for assessing the criterion validity of the scale (P < 0.01).CONCLUSION: The Hope Scale helps researchers gauge the different dimensions of hope through a deeper understanding of this concept. The scale had high validity and reliability in all fields. Considering the simplicity of its application and implementation, it can be used in various researches in which hope is considered as one of the studied variables

Perceived Stressors of Hospitalized Patients’ Family in Cardiac Care Unites: A Qualitative Content Analysis

The present study attempts to justify the factors inducing stress in the families of patients hospitalized in cardiac intensive care units in the east of Guilan province in Iran. The study aims at gaining an accurate understanding on these stressors for appropriate planning directed at removing or decreasing these tension-inducing components. The present study is a qualitative study based upon a conventional content analysis approach. The study population was selected through purposive sampling (28 family members of cardiac patients), and the data were gathered through semi-structured interviews. Data analysis was performed as per the stages recommended by Graneheim and Lundman (2004). The strength and scientific accuracy of the study was also established. The study yielded three main themes and seven sub-themes: Heavy shadow of illness (fear of loneliness on the caring path, fear of disease, poor personal knowledge); Hesitation in the treatment (doubting the efficiency of technology, ungenial healthcare providers); and Economic storm (high cost of treatment, potential economic problems). The study results indicated that patients’ families underwent stress in various areas, pointing to the need for providing adequate training and information on the disease to family members and caregivers, as well as the sympathy of healthcare providers on the treatment path for reducing the disease-associated tensions suffered by hospitalized patients’ families

Professional socialization in clinical nurses- A phenomenological study

زمینه و هدف: اجتماعی شدن، فرآیند پذیرش نقش های حرفه ای و یک راه واقعی برای توسعه هویت حرفه ای به شمار می رود؛ لذا این مطالعه با هدف تبیین این مفهوم در پرستاران در بالین صورت گرفته است. روش بررسی: در این مطالعه توصیفی از نوع کیفی و با رویکرد پدیدارشناسی انجام شده است. 10 نفر پرستار بالینی از بیمارستان های آموزشی در شهرهای شهرکرد و تهران در مطالعه مشارکت داشتند. داده ها از مصاحبه های نیمه ساختار یافته و با تحلیل به کمک روشVan Manen استخراج گردید. یافته ها: شش درون مایه از تحلیل مصاحبه های پرستاران بالینی استخراج گردیدکه با کمک آن ها مفهوم اجتماعی شدن حرفه ای با درون مایه های شناوری شایستگی، استقلال عملی، پویایی بالینی، موردحمایت جامعه قرار گرفتن، دلبستگی حرفه ای و مشارکت منفعل گروهی تبیین گردید. نتیجه گیری: نتایج این مطالعه نشان داد که توصیف های تجارب پرستاران، راهنمای عملی برای مدیران آموزشی جهت بازبینی برنامه های درسی پرستاری وهمچنین مدیران پرستاری در برنامه های اجتماعی شدن مجدد بعد از انتقال نقش را فراهم نماید. این مطالعه، ضمن تبیین تجارب در خصوص مفهوم اجتماعی شدن در حرفه پرستاری، نقطه آغازی برای پژوهش بیشتر مفهوم و گسترش بدنه دانش حرفه ای پرستاری خواهد بود

The evaluation of the human dimension in the nursing curriculum: a qualitative study

Introduction: Nursing education is a human affair that is founded on human interaction to identify and meet human needs. At the present time, due to the increasing technological advances, demographic changes, globalization, the spread of new health programs, and the increasing complexity of the health care system and the role of the professional nurse, the professional and social roles of nurses have been challenged. Nurses must be able to anticipate and manage the care of patients under complex and rapidly changing conditions. However, many of the nursing curriculums used at present cannot meet the rapidly changing needs. Therefore, the curriculum must be able to instill in nursing students the skills to meet the health needs of the society. Method: This qualitative study was conducted using content analysis. In order to collect data, individual semi-structured interviews and focus group interviews were used. Sampling was performed using convenience sampling method. After each interview, recorded data were typed and transferred to the MAXQD 2007 software. To analyze the data, conventional content analysis method was used. Results: The main theme of lack of attention to human dimensions in the curriculum was achieved through content analysis. Moreover, 87 codes, 13 sub-categories, and 5 categories (the necessity of a client-oriented curriculum, the necessity of attention to the human dimensions of students in the curriculum, lack of attention to the role of the nurse in the curriculum, lack of attention to the role of the teacher in the curriculum, and lack of attention to human and human needs) were obtained. Conclusion: The results of this study indicate the human dimension and the role of human subjects in four axes (client, nursing student, nursing instructor, and nurse) in the undergraduate nursing curriculum. Furthermore, it raises the point that it may be necessary to emphasize human dimensions with regard to the cultural and religious considerations of the society, in the designing, implementation, and evaluation of undergraduate nursing curriculum. Keywords: Undergraduate nursing curriculum, Human dimension, Qualitative stud

Comparison of two teaching methods on nursing students’ learning and retention: concept mapping or lecture?

Introduction: Nursing educators should use teaching methods that promote deep learning and retention. The aim of this study was to compare the effects of lecture and concept mapping approaches on the nursing students' learning and knowledge retention in cardiovascular nursing course. Methods: In a quasi-experimental study on two groups with pre test-post test design, 66 fifth-semester nursing students were selected through census method and randomly divided into two groups (experiment and control). After pre test, ..

Concept development of compassion fatigue in clinical nurses: Application of Schwartz-Barcott and Kim\u27s hybrid model

Compassion fatigue is not a new concept in nursing; yet, it is not well known and there is no fixed clear definition of the term. The ambiguity surrounding how to define compassion fatigue has challenged its measurement and evaluation. Thus, any attempt to determine attributes of this underdeveloped concept and studying it in a new socio-cultural context requires concept development. The purpose of this study is to clarify the concept of compassion fatigue through concept development and to produce a vivid and tentative definition of this concept in clinical practice. Concept development was conducted using a three-step hybrid concept analysis including theoretical, fieldwork, and final analysis phases according to Schwartz-Barcott and Kim\u27s method. We reviewed and analyzed 48 articles that met the inclusion criteria. Following, the first author conducted 13 interviews with clinical nurses followed by an inductive content analysis. Finally, a comprehensive definition of compassion fatigue in nurses was attained. Compassion fatigue in nurses can be explained as a cumulative and progressive process of absorption of the patient’s pain and suffering formed from the sympathetic and caring interactions with the patients and their families. The physical, emotional, intellectual, spiritual, social, and organizational consequences of compassion fatigue are so extensive that they threaten the existential integrity of the nurse. Context-based variables (culture, family, and community) such as personality features like devotion behaviors and commitment towards the patient, exposure to multiple stressors, organizational challenges, and lack of self-care are factors associated with an increased risk of compassion fatigue. Concept development of compassion fatigue is the first step in the protection of nurses against the destructive consequences of compassion fatigue and to improve quality of care

Professional Resilience among Trauma Emergency Department Nurses in Iran: A Qualitative Study

Introduction: Nursing staff’s professional resilience plays an important role in overcoming the stressful and adverse situations common to the trauma emergency department and helps to achieve positive outcomes. Objective: This study intended to explore the concept of resiliency among Iranian trauma emergency department nurses. Methods: Data were collected using semi-structured interviews with 21 trauma emergency department nurses and analysed through a deductive content analysis based on the general conceptual model of resilience derived from King and Rothstein’s study. Results: All codes were nested into the four main categories of the above-mentioned model including: 1) Personal characteristics; 2) Opportunities, supports and resources; 3) Self-regulatory processes; 4) Positive outcomes. Some new sub-categories including Professional abilities (sub-category of Personal characteristics) and Cooperation with colleagues and Volunteers’ declaration of readiness (sub-categories of opportunities, supports and resources) were developed in this study. In the positive outcomes category, three sub-categories including Improved professional abilities, Personal growth, and Job retention were developed. Conclusion: Our results demonstrated that Iranian trauma emergency department nurses could achieve positive outcomes using specific affective, cognitive, and behavioural personality traits, professional abilities and effective external supports from different resources during self-regulatory processes. It is suggested that nurses should be selected for work in the emergency department based on appropriate characteristics and skills

Professional Resilience among Trauma Emergency Department Nurses in Iran: A Qualitative Study

Introduction: Nursing staff’s professional resilience plays an important role in overcoming the stressful and adverse situations common to the trauma emergency department and helps to achieve positive outcomes. Objective: This study intended to explore the concept of resiliency among Iranian trauma emergency department nurses. Methods: Data were collected using semi-structured interviews with 21 trauma emergency department nurses and analysed through a deductive content analysis based on the general conceptual model of resilience derived from King and Rothstein’s study. Results: All codes were nested into the four main categories of the above-mentioned model including: 1) Personal characteristics; 2) Opportunities, supports and resources; 3) Self-regulatory processes; 4) Positive outcomes. Some new sub-categories including Professional abilities (sub-category of Personal characteristics) and Cooperation with colleagues and Volunteers’ declaration of readiness (sub-categories of opportunities, supports and resources) were developed in this study. In the positive outcomes category, three sub-categories including Improved professional abilities, Personal growth, and Job retention were developed. Conclusion: Our results demonstrated that Iranian trauma emergency department nurses could achieve positive outcomes using specific affective, cognitive, and behavioural personality traits, professional abilities and effective external supports from different resources during self-regulatory processes. It is suggested that nurses should be selected for work in the emergency department based on appropriate characteristics and skills

Compassion Fatigue in Clinical Nurses: An Evolutionary Concept Analysis

Background: Despite the agreement regarding the significance of the concept of CF in nursing, it has been unrecognized, and there is no clear definition of compassion fatigue in the context of nursingObjectives: The aim of this study is to inductively develop or formulate a clear and uniformed definition of compassion fatigue in the context of nursing.Patients and Methods: A Concept analysis using Rodger’s approach using a literature-based method and thematic analysis was conducted. Steps of Rodger’s concept analysis encompass identify the concept and associated definition, attributes, antecedents, consequences, surrogate terms, related concepts, and a model case exemplar.Results: attributes, antecedents and consequences of compassion fatigue from literatures is extracted and then a vivid definition is achieved.Conclusions:this analysis demonstrated that the concept of compassion fatigue is comprised of excessive empathy, the symptomatology of secondary traumatic stress, the problematic work environment of burnout and coping mechanism deficit. Keywords: Compassion fatigue, Secondary traumatic stress, nurse, concept analysi