Postpartum Quiet Time Effects on Breastfeeding, Satisfaction, & Interruptions to Couplets

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Effect of compassion rounds on nurses\u27 professional quality of life on a COVID-19 unit.

INTRODUCTION: Evidence suggests that support groups enhance nurses\u27 professional quality of life (QOL), and positive professional QOL is associated with better patient and nurse outcomes. This study examined the effect of a unit-level support group on the professional QOL of nurses working on a progressive care unit-turned-dedicated-COVID-19 unit. AIM: We hypothesized that a professionally facilitated Compassion Rounds (CR) support group would improve compassion satisfaction (CS) and reduce compassion fatigue (CF) among COVID-19 unit nurses. METHODS: For this pre/post, within-group trial we recruited an inclusive, convenience sample of 84 nurses on a COVID-19 unit within a 377-bed, Magnet®-designated hospital. The 10-week, CR consisted of biweekly meetings, and the ProQOL version 5 measured pre/post CS and CF. RESULTS: Paired t-testing showed that CS scores fell after CR (n = 10; p = .005), while scores rose for CF burnout (p = .05) and secondary traumatic stress (p = .008). Results were similar for unpaired analysis (N = 38; p \u3c .05). IMPLICATIONS/CONCLUSION: Although pandemic-related challenges likely overwhelmed CR\u27s potential to improve professional QOL, CR may have prevented worse deterioration of work-life quality. CR may also create clinically meaningful improvements for groups or individual nurses, and thus enhance nurse and patient outcomes

Meaning of Courtesy and Respect: Nurse and Patient Experiences.

BACKGROUND: Treating patients with courtesy and respect has quality, ethical, and fiscal ramifications. PURPOSE: This qualitative study revealed meanings of nurse courtesy and respect as imbedded in nurse and patient stories. METHODS: Audio-recorded interviews were collected from 15 registered nurses and 17 patients on a medical-surgical unit in a 377-bed, nonprofit, Magnet-recognized facility. RESULTS: Six themes related to courtesy and respect emerged during descriptive content analysis by 2 researchers: (1) being attentive (with subthemes taking time, physical care, and proactive engagement); (2) giving empathetic support; (3) honoring culture and beliefs; (4) recognizing the family; (5) recognizing patient space; and (6) recognizing personhood (with subthemes of showing ordinary politeness and recognizing the individual and honoring choices). CONCLUSIONS: Informants\u27 stories contributed toward a better understanding of what it means to treat patients with courtesy and respect; and they created context for interpreting HCAHPS (Hospital Consumer Assessment of Healthcare Providers and Systems) numerical results. Further research is warranted