Work environment factors in coping with patient death among Spanish nurses: a cross-sectional survey

Acknowledgments We sincerely thank all participants for responding to the questionnaires and sharing their points of viewsCorresponding author: Maria Povedano-Jimenez E-mail: [email protected] https://orcid.org/0000-0002-0472-5733Objective: to explore self-perception competence among Spanish nurses dealing with patient death and its relationship with work environment, evidence-based practice, and occupational stress. Method: a cross-sectional web-based survey collected information from a convenience sample of 534 nurses from professional Spanish Colleges who answered four validated questionnaires: Coping with Death Scale, Practice Environment Scale of the Nursing Work Index, Perception of Evidence-Based Practice (EBP) and Nursing Stress Scale. Results: a total of 79% of the participants were women, the average age was 40 years old, 38% had a postgraduate degree and 77% worked in public health settings. Many nurses evaluated their work environment as unfavorable (66%), reported high occupational stress (83.5±14.9), and had high scores on knowledge/skills in EBP (47.9±11.3). However, 61.2% of them perceived an optimal coping (>157 score). The multivariate logistic model indicated positive associations with work environment and EBP characteristics (OR: 1.30, p=0.054; OR: 1.04, p=0.007; OR: 1.13, p<0.001, respectively) but negative associations with occupational stress and short work experience (OR: 0.98, p=0.0043; OR: 0.74, p<0.002, respectively). These factors explained 23.1% of the coping variance (p<0.001). Conclusion: although most nurses perceived optimal coping, the situation could be enhanced by modifying several contextual factors. The identification of these factors would improve the quality of end-of-life care by facilitating nursing management

La comunicación de los profesionales sanitarios en Cuidados Paliativos = The communication of health professionals in palliative care

Resumen: Nos encontramos ante una sociedad evitativa y tanatofóbica en la que los profesionales sanitarios para protegerse de la frustración que les causa el tema de la muerte, establecen barreras de comunicación y se distancian de sus pacientes moribundos. El objetivo de este artículo es resaltar la necesidad de incorporar habilidades de comunicación en el profesional de la salud mediante una revisión bibliográfica de la literatura científica. Se ha demostrado que el entrenamiento en comunicación conlleva a una mejora de la relación de ayuda entre los profesionales sanitarios y el paciente en situaciones tan difíciles como el proceso de muerte. Por ello, es necesario un trabajo profesional de aceptación de la muerte como parte más de la vida donde las habilidades de comunicación son uno de los puntos imprescindibles para llevar a cabo un abordaje integral del paciente paliativo. Palabras clave: Comunicación en Salud, Cuidados Paliativos Abstract: We are facing a society that denies and flees from death and in which health professionals to protect themselves from the frustration that causes the subject itself, establish communication barriers and distance themselves from their dying patients. The aim of this paper is to highlight the need to incorporate communication skills in healthcare through a literature review of the scientific literature. It has been shown that training in communication leads to improved aid relationship between health professionals and patients in difficult situations such as the death process. Therefore, you need a professional job acceptance of death as part of life where communication skills are one of the essential points to carry out a comprehensive approach to palliative patient. Keywords: Health Communication, Hospic Car

Educational Interventions for Nursing Students to Develop Communication Skills with Patients: A Systematic Review

Introduction: Nursing students establish therapeutic relationships with their patients and as future nursing professionals, they should be trained to be effective communicators. The objective of this systematic review was to know the impact of educational interventions on nursing students to develop their communication skills with patients. Methods: A systematic review of literature was carried out. The following databases were consulted: CINAHL, PubMed (Ovid Medline), SCOPUS and Web of Science. The Preferred Reporting Items for Systematic Reviews and Meta-Analyses guided this review. As for inclusion criteria, published articles in English from 2000 to 2020 were included. The methodological rigor of the included articles was evaluated with the JBI Critical Appraisal Checklist for Randomized Controlled Trial or Quasi-Experimental Studies. Changes in communication skills with the patient after the implementation of an intervention were analyzed. Results: Of the included studies in this systematic review (N = 19), two studies were randomized controlled trials, others were single group quasi-experimental studies (N = 11) and two group quasi-experimental studies (n = 6). The majority of the studies were carried out in the USA (n = 7). The most frequent educational intervention was simulation (n = 11). As for the improvement of communication skills, 13 of the 19 articles found statistically significant differences in patient-centered communication skills of nursing students. Conclusions: This systematic review provides preliminary evidence of the effectiveness of interventions used to train nursing students in patient-centered communication. Although all the interventions obtained significant results in communication skills, it has not yet been determined which methodology is more effective

Development and Validation of Breadcrumbing in Affective-Sexual Relationships (BREAD-ASR) Questionnaire: Introducing a New Online Dating Perpetration

New technologies are changing people’s lifestyles and in turn, their way of relating to and interacting with others. Breadcrumbing is one of the new 2.0 concepts linked to the virtual relationship paradigm. This study aimed to design and psychometrically test the Breadcrumbing in Affective-Sexual Relationships (BREAD-ASR) Questionnaire to explore breadcrumbing perpetration in adolescent relationships online. A total of 247 adolescents participated in a paper-and-pencil survey carried out from March to June 2019 in a high school in southeastern Spain. Psychometric analysis showed a satisfactory content and construct validity for the instrument. The ordinal alpha coefficient was 0.83, indicating the BREAD-ASR questionnaire had good internal consistency. The BREAD-ASR questionnaire constitutes a valid and reliable instrument which can be used by health professionals in screenings for breadcrumbing perpetration and to design effective prevention and intervention programs in the community, which may help and support adolescents and families to deal with new forms of online relationships and perpetration successfully

Enfermería, disciplina de ciencias de la salud: aspecto psicosocial de los cuidados y su relación con disciplinas afines

Enfermería es un área de conocimiento históricamente vinculada al estudio de los componentes biológico, psicológico y social de la salud. El presente estudio, es un intento de aproximación a la delimitación conceptual de enfermería con áreas afines, en particular, con psicología de la salud. La información que se presenta pretende consolidar el estatus de enfermería como disciplina, a veces olvidada, del área de ciencias de la salud.Nursing is a knowledgeable area historically linked to the study of biology, psychology and social aspects of health. The present work tries to incorporate a conceptual dimension of nursing that includes other disciplines, particularly psychology of health. The information hereby presented intends to consolidate the nursing status as a discipline -sometimes forgoten- within the health sciences area

Creencias relacionadas con la hipertensión y adherencia a los diferentes componentes del tratamiento

Despite the availability of effective therapy, hypertension remains poorly controlled and noncompliance has been identified as the predominant reason for failure of hypertension therapy. The aim of this study is to explore, (a) the patient¿s reports about their adherence and difficulties for the fulfillment of the treatment; (b) the relationship between information they had received about the consequences for health of hypertension and what they really believed about; (c) the patients¿ beliefs about the hypertension as a disease; and (d) the change in their way of living after the diagnosis. 171 hypertensive patients participated. Results shows that only 11,7% of patients reported not having problems to follow treatment, identifying as the main difficulties the adherence to diet and exercise; a high percentage of patients showed no correspondence between their beliefs about the consequences of hypertension and the information received in medical consultation; only 57% of the patients reported to have the idea of hypertension as a chronic disease; and 40,9% of the patients reported only some changes in their way of life after being diagnosed which might indicate failures in adherence at the beginning of the treatment. The importance of these results to improve adherence to treatment in hypertensive patients is discussed