Percepciones de las gestantes en torno al cuidado humanizado por enfermería

Objective: determine perceptions of behavior of nursing human care in a group of pregnant women from the obstetrics and gynecology service of a high complexity hospital in the south-west of Colombia, through the application of an instrument, perceptions of nursing human care in its first version, validated by the Universidad Nacional de Colombia. Materials and Methods: cross-sectional descriptive quantitative research, the sample was of 97 pregnant women obtained from a non-probabilistic sample by convenience, through the formula for ideal sample size when the population size is known. Social-demographical variables and the perception of behavior of nursing human care were taken in account. Results: 59% of pregnant women perceived the behavior of nursing human care as excellent; the categories with higher percentage were characteristics of the nurse, prioritize the care of the person and proactivity, while the categories with lower percentage were: empathy, attention availability and emotional support. Conclusion: the nursing human care, in all of its categories, was qualified as good and excellent, which demonstrates an adequate perception by the pregnant women; however, it is important to strengthen aspects related to empathy and attitude.   Keywords: nursing, humanization of assistance, parenting , perception. Objetivo: determinar las percepciones de comportamiento del cuidado humanizado de enfermería en un grupo de gestantes del servicio de ginecobstetricia de un hospital de alta complejidad del sur-occidente de Colombia, mediante la aplicación de un instrumento, percepciones del cuidado humanizado en enfermería en su primera versión validada por la Universidad Nacional de Colombia. Materiales y Métodos: investigación cuantitativa descriptiva, de corte transversal. La muestra fue de 97 gestantes obtenidos por muestreo no probabilístico por conveniencia, mediante la fórmula para tamaño óptimo cuando la población es conocida. Se tuvo en cuenta las variables sociodemográficas y la percepción de los comportamientos de cuidado humanizado de enfermería. Resultados: el 59 % de las gestantes percibieron el comportamiento del cuidado humanizado como excelente; las categorías con mayor porcentaje fueron características de la enfermera, priorizar al ser de cuidado y proactividad, mientras que las categorías con menor valor fueron empatía, disponibilidad para la atención y dar apoyo emocional. Conclusión: el cuidado humanizado de enfermería, en todas las categorías, fue calificado como bueno y excelente, lo que demuestra una adecuada percepción por parte de las gestantes; sin embargo, es importante fortalecer aspectos relacionados con la empatía y la actitud. Palabras clave: enfermería, humanización de la atención, maternidad, percepción. Perceptions of pregnant women regarding the nursing human care  Abstract Objective: determine perceptions of behavior of nursing human care in a group of pregnant women from the obstetrics and gynecology service of a high complexity hospital in the south-west of Colombia, through the application of an instrument, perceptions of nursing human care in its first version, validated by the Universidad Nacional de Colombia. Materials and Methods: cross-sectional descriptive quantitative research, the sample was of 97 pregnant women obtained from a non-probabilistic sample by convenience, through the formula for ideal sample size when the population size is known. Social-demographical variables and the perception of behavior of nursing human care were taken in account. Results: 59% of pregnant women perceived the behavior of nursing human care as excellent; the categories with higher percentage were characteristics of the nurse, prioritize the care of the person and proactivity, while the categories with lower percentage were: empathy, attention availability and emotional support. Conclusion: the nursing human care, in all of its categories, was qualified as good and excellent, which demonstrates an adequate perception by the pregnant women; however, it is important to strengthen aspects related to empathy and attitude.   Keywords: nursing, humanization of assistance, parenting , perception.  Percepções de mulheres gravidas em torno dos cuidados de enfermagem humanizada Resumo Objetivo: determinar as percepções de comportamento do cuidado humanizado de enfermagem em um grupo de mulheres gravidas do serviço de ginecologia e obstetrícia de um hospital de alta complexidade do Colombia, através da aplicação de um instrumento, “Percepções do cuidado humanizado em enfermagem” em sua primeira versão e validado pela Universidad Nacional de Colombia. Materiais e Métodos: pesquisa quantitativa descritiva, de corte transversal. A amostra foi de 97 mulheres gravidas obtidas por amostragem não probabilística por conveniência,  através da fórmula para tamanho óptimo quando a população é conhecida. Foram levadas em conta as variáveis sócio demográficas e a percepção dos comportamentos de cuidado de enfermagem humanizada. Resultados: o 59% das mulheres gravidas perceberam o comportamento do cuidado humanizado como excelente; as categorias com maior porcentagem foram características da enfermeira, priorizar ao ser de cuidado e proatividade, enquanto que as categorias com menor valor foram: empatia, disponibilidade para o atendimento e dar apoio emocional. Conclusão: o cuidado de enfermagem humanizada, em todas as categorias, foi qualificado como bom e excelente, o que demostra uma adequada percepção por parte das mulheres gravidas; no entanto, é importante fortalecer aspectos relacionados com a empatia e a atitude. Palavras-chave: enfermagem, humanização da assistência, poder familiar, percepção. &nbsp

A global experiment on motivating social distancing during the COVID-19 pandemic

Finding communication strategies that effectively motivate social distancing continues to be a global public health priority during the COVID-19 pandemic. This cross-country, preregistered experiment (n = 25,718 from 89 countries) tested hypotheses concerning generalizable positive and negative outcomes of social distancing messages that promoted personal agency and reflective choices (i.e., an autonomy-supportive message) or were restrictive and shaming (i.e., a controlling message) compared with no message at all. Results partially supported experimental hypotheses in that the controlling message increased controlled motivation (a poorly internalized form of motivation relying on shame, guilt, and fear of social consequences) relative to no message. On the other hand, the autonomy-supportive message lowered feelings of defiance compared with the controlling message, but the controlling message did not differ from receiving no message at all. Unexpectedly, messages did not influence autonomous motivation (a highly internalized form of motivation relying on one’s core values) or behavioral intentions. Results supported hypothesized associations between people’s existing autonomous and controlled motivations and self-reported behavioral intentions to engage in social distancing. Controlled motivation was associated with more defiance and less long-term behavioral intention to engage in social distancing, whereas autonomous motivation was associated with less defiance and more short- and long-term intentions to social distance. Overall, this work highlights the potential harm of using shaming and pressuring language in public health communication, with implications for the current and future global health challenges

In COVID-19 Health Messaging, Loss Framing Increases Anxiety with Little-to-No Concomitant Benefits: Experimental Evidence from 84 Countries.

The COVID-19 pandemic (and its aftermath) highlights a critical need to communicate health information effectively to the global public. Given that subtle differences in information framing can have meaningful effects on behavior, behavioral science research highlights a pressing question: Is it more effective to frame COVID-19 health messages in terms of potential losses (e.g., "If you do not practice these steps, you can endanger yourself and others") or potential gains (e.g., "If you practice these steps, you can protect yourself and others")? Collecting data in 48 languages from 15,929 participants in 84 countries, we experimentally tested the effects of message framing on COVID-19-related judgments, intentions, and feelings. Loss- (vs. gain-) framed messages increased self-reported anxiety among participants cross-nationally with little-to-no impact on policy attitudes, behavioral intentions, or information seeking relevant to pandemic risks. These results were consistent across 84 countries, three variations of the message framing wording, and 560 data processing and analytic choices. Thus, results provide an empirical answer to a global communication question and highlight the emotional toll of loss-framed messages. Critically, this work demonstrates the importance of considering unintended affective consequences when evaluating nudge-style interventions

In COVID-19 health messaging, loss framing increases anxiety with little-to-no concomitant benefits: Experimental evidence from 84 countries

The COVID-19 pandemic (and its aftermath) highlights a critical need to communicate health information effectively to the global public. Given that subtle differences in information framing can have meaningful effects on behavior, behavioral science research highlights a pressing question: Is it more effective to frame COVID-19 health messages in terms of potential losses (e.g., "If you do not practice these steps, you can endanger yourself and others") or potential gains (e.g., "If you practice these steps, you can protect yourself and others")? Collecting data in 48 languages from 15,929 participants in 84 countries, we experimentally tested the effects of message framing on COVID-19-related judgments, intentions, and feelings. Loss- (vs. gain-) framed messages increased self-reported anxiety among participants cross-nationally with little-to-no impact on policy attitudes, behavioral intentions, or information seeking relevant to pandemic risks. These results were consistent across 84 countries, three variations of the message framing wording, and 560 data processing and analytic choices. Thus, results provide an empirical answer to a global communication question and highlight the emotional toll of loss-framed messages. Critically, this work demonstrates the importance of considering unintended affective consequences when evaluating nudge-style interventions

A global experiment on motivating social distancing during the COVID-19 pandemic

Finding communication strategies that effectively motivate social distancing continues to be a global public health priority during the COVID-19 pandemic. This cross-country, preregistered experiment (n = 25,718 from 89 countries) tested hypotheses concerning generalizable positive and negative outcomes of social distancing messages that promoted personal agency and reflective choices (i.e., an autonomy-supportive message) or were restrictive and shaming (i.e., a controlling message) compared with no message at all. Results partially supported experimental hypotheses in that the controlling message increased controlled motivation (a poorly internalized form of motivation relying on shame, guilt, and fear of social consequences) relative to no message. On the other hand, the autonomy-supportive message lowered feelings of defiance compared with the controlling message, but the controlling message did not differ from receiving no message at all. Unexpectedly, messages did not influence autonomous motivation (a highly internalized form of motivation relying on one’s core values) or behavioral intentions. Results supported hypothesized associations between people’s existing autonomous and controlled motivations and self-reported behavioral intentions to engage in social distancing. Controlled motivation was associated with more defiance and less long-term behavioral intention to engage in social distancing, whereas autonomous motivation was associated with less defiance and more short- and long-term intentions to social distance. Overall, this work highlights the potential harm of using shaming and pressuring language in public health communication, with implications for the current and future global health challenges