scholarly journals The Correlation between Spiritual Care Giving and Nurses’ Competences at Critical Care Units

2020 ◽  
Vol 6 (2) ◽  
Author(s):  
Muhammad Deri Ramadhan ◽  
Destiya Dwi Pangestika ◽  
Nurul Fatwati Fitriana

 ABSTRACTPatients’ complex and critical conditions may influence humans to fulfill their basic daily needs. One nurses’ main task is giving the nursing care based on the patients’ daily needs including spiritual care. However, the critical care nurses only focused on the patients’ physical needs, without paying more attentions to the spiritual care. Many factors may influence the nurses’ competences in giving the spiritual care, including nurses’ perceptions, involvements with the other health workers, spiritual care input as a part of nursing curriculum. Thus, it is greatly important to r reveal the correlation between spiritual care giving and nurses’ competences in developing the spiritual care to the patients. This study aims at revealing the correlation between spiritual care giving and nurses’’ competences at critical care units. This quantitative non experimental research employed a cross sectional design. Seventy seven critical care nurses at the intensive care units participated in this research and two research instruments consisting of Spiritual Care Giving Scale (SCGS) and Spiritual Care Competence Scale (SCCS) were employed. The data were then bivariately analyzed to reveal the nurses’ perceptions on spiritual care. The research results showed that spiritual care giving and nurses’ competences had a strong correlation. Each domain in spiritual care giving scale had a strong correlation with nurses’ competences.   ABSTRAK Kondisi pasien kritis yang komplek dapat menganggu terpenuhinya kebutuhan dasar manusia. Fokus perawat dalam merawat pasien adalah dengan memberikan asuhan keperawatan yang berdasar pada kebutuhan dasar manusia dimana salah satu kebutuhan dasar manusia yang juga harus dipenuhi adalah kebutuhan spiritual. Namun, kenyataannya perawat dalam memberikan perawatan kepada pasien hanya berfokus kepada perawatan medis dan fisik saja, tanpa melakukan pendekatan secara spiritual. Beberapa faktor dapat mempengaruhi kompetensi perawat dalam memenuhi kebutuhan spiritual pasien seperti persepsi perawat, keterlibatan dengan multidisiplin lain, melibatkan materi spiritual dalam kurikulum keperawatan. Berdasarkan paparan di atas, maka penting untuk dilakukan kajian mengenai hubungan kompetensi perawat dengan pemberian perawatan spiritual. Jika hal tersebut sudah dapat diketahui, maka ruangan intensif akan lebih mudah dalam mengembangkan bentuk pemberian kebutuhan spiritual pada pasien. Penelitian ini bertujuan untuk mengetahui hubungan antara kompetensi perawat dan pemberian perawatan spiritual pada perawat kritis. Jenis  penelitian  yang  digunakan  adalah  penelitian kuantitatif korelasi dengan desain penelitian cross sectional. Responden pada penelitian ini adalah perawat yang bekerja di Unit Rawat Intensif sebanyak 78 orang. Instrumen penelitian yang digunakan adalah Spiritual Care Giving Scale (SCGS) dan Spiritual Care Competence Scale (SCCS). Pada penelitian ini, data dianalisis secara bivariat untuk mengetahui hubungan kompetensi perawat dan pemberian perawatan spiritual. Secara umum, pemberian perawatan spiritual mempunyai hubungan yang kuat dengan kompetensi perawat (r=0.619) dimana setiap domain dalam Spiritual Care Giving Scale (SCGS) mempunyai hubungan yang kuat (p value 0.00) dengan kompetensi perawat dalam memberikan perawatan spiritual. Hasil analisa tersebut dapat disimpulkan bahwa kompetensi perawat tentang perawatan spiritual dapat mempengaruhi bagaimana pemberian perawatan spiritual kepada pasien. Penelitian selanjutnya diharapkan dapat melakukan intervensi berupa pelatihan pemberian perawatan spiritual untuk perawat agar dapat diaplikasikan di rumah sakit.

2017 ◽  
Vol 28 (4) ◽  
pp. 345-350 ◽  
Author(s):  
Kenneth John Oja

Background: Civility among critical care nurses is important for achieving positive patient outcomes. Professional comportment refers to nurse behaviors that are respectful, knowledgeable, deliberate, and compassionate. Objective: To examine the relationship between perceptions of nurse-to-nurse incivility and professional comportment among critical care nurses, and the extent to which nurse characteristics influence their perceptions. Methods: Data were collected from nurses in 14 critical care units. Correlational analysis examined the relationship between nurses’ perceptions of nurse-to-nurse incivility and professional comportment. Regression analysis was used to identify predictors of nurse-to-nurse incivility. Results: Decreased perceptions of nurse-to-nurse incivility were associated with increased perceptions of professional comportment. Nurses’ reports of receiving education about professional comportment was a significant predictor of increased nurse perceptions of professional comportment. Conclusion: Professional comportment education for critical care nurses is important and may provide an option to decrease incivility and promote healthy work environments for nurses.


2020 ◽  
Vol 9 (1) ◽  
pp. 57-64
Author(s):  
Tayebeh Mahvar ◽  
Nooredin Mohammadi ◽  
Naima Seyedfatemi ◽  
AbouAli Vedadhir

Introduction: Interpersonal communication in critical care units is one of the most important factors due to complicated and critical conditions of patients. Nurses’ confrontation with ethical distresses and conflict resolution techniques are often influenced by the culture governing these units. This study aimed to explore interpersonal communication culture among critical care nurses. Methods: A focused ethnographic approach was used to conduct study in Iran. The research method was based on the research evolutionary cycle model recommended by Spradley (1980). Data were collected over six months through purposeful sampling and semi structured interviews (n=18) and participation observation (n=43). The data were obtained over six months of observation and interview with participants. Data analysis was done by Spradley method and was interpreted to discover the meaning units from the obtained themes. MAXQDA10 was used to manage data. Results: Five major domains of observations and high-level consensus were extracted in this study, including grouping, work-life interaction, professionalism, organizational atmosphere and experience. Conclusion: Development of interpersonal communication culture is influenced by various factors. Besides, the working models and nurses’ use of workspace are indispensable components of effective communication at workplace. The findings of this study can be helpful in determining appropriate strategies and practices to resolve communication problems among nurses by specifying challenges, thereby leading to proper communication among nurses, promoting this communication and finally providing high quality and more effective care.


Author(s):  
Eslam Abd Alkreem Allsassmah

Background. Stroke is a devastating disease. It is a major cause for the neurological admission to hospitals all over the world. Limited knowledge among the critical care nurses about stroke in general and specifically about the risk factors, signs, and symptoms of stroke usually is a main source of delayed prompt stroke management and non-compliance with follow-up rehabilitation. Therefore, there is a need for a study that examines the impact of these factors in order to promote stroke management and improve nursing care outcomes.Aim. This study aimed at measuring the knowledge of Jordanian nurses working in critical care units toward stroke patients.Methods. This cross-sectional study used the descriptive approach in order to measure the knowledge of the Jordanian nurses working in critical care units regarding stroke patients in the Jordanian hospitals. Data were collected from Jordanian critical care units' nurses from seven hospitals; five private and two public hospitals. Critical care units’ nurses were selected conveniently based on specific inclusion criteria. Eligible participants were required to complete self–reported questionnaires about knowledge in addition to completing demographic questionnaires. The descriptive and inferential statistics were conducted using the SPSS software. Results. A total of (200) Critical care units’ nurses from public and private hospitals participated in the study. The nurses in this study exhibited poor knowledge on the study scales. There were statistically significant differences among nurses according to the type of hospital on the one scales (P< .05). There is a negative relationship between the knowledge and years of nursing practice in ER or ICU (P= .013).Conclusions. The measures of knowledge among the nurses in critical care units in the Jordanian hospitals towards stroke patients seem to be highly poor. Nurses in critical care units seem to have acceptable information, but inadequate to correctly enhance stroke awareness. There is a gap that should be stuffed via planning and implementation of educational and instructional programs focused on hospital nurses as well as community sectors in order to improve the stoke focus and experience and avoid the delay in accessing the medical help which would, in return, improve stroke management and reduce its effect in Jordan.


2017 ◽  
Vol 6 (1) ◽  
pp. 11
Author(s):  
Amal Abd El-Hafez1 ◽  
Asmaa Mahjoub ◽  
Eman Ahmad

Background: Acute kidney injury (AKI) is one of the most challenging and serious complications of pregnancy and postpartum period that facing critical care nurses in Intensive Care Unit (ICU). Having a uniform standard for identifying and classifying AKI would enhance critical care nurses’ ability to recognize these patients and leading to better outcomes.Objective: This work aimed to explore the risk factors and outcome of early identified acute kidney injury of critically obstetric patients in Obstetric ICU. Design. A descriptive cross sectional research design was used in this study. Participants: A total sample of 338 women admitted to Obstetric ICU at Woman Health Hospital, Assiut City, Egypt. Method: Three tools were used.Tool I was developed by the researcher and included demographic and obstetric history, lab parameters, complications and outcomes arising from AKI. The Sequential Organ Failure Assessment (SOFA) score as tool II to determine the extent of a patient's organ function or rate of failure. Measurement of serum creatinine and urine output were used to early identify AKI stages according to Acute Kidney Injury Network (AKIN) Criteria (tool III). Results: The prevalence of AKI among obstetric patients admitted to obstetric ICU was 10.1%; of them 52.9% needed renal replacement therapy and the mortality rate was 29.4%. Postpartum hemorrhage was the most common cause of AKI and its prevalence was 41.2%. It was also found that 74.5% of AKI patients developed complications. Conclusion: AKI complicated 10.1% of total admitted women to the OICU in the studied period. Postpartum hemorrhage represents the most prevalent risk factors with a highly significant SOFA score compared to other risk factors as sever preeclampsia, eclampsia, HEELP & APH with acute fatty liver.


2021 ◽  
Vol 74 (3) ◽  
Author(s):  
Luana Silva de Sousa ◽  
Roberta Meneses Oliveira ◽  
Jênifa Cavalcante dos Santos Santiago ◽  
Érika da Silva Bandeira ◽  
Yane Carmem Ferreira Brito ◽  
...  

ABSTRACT Objectives: to analyze the predictors of moral harassment in nursing work in critical care units. Methods: a cross-sectional study conducted in a public hospital in Fortaleza, Ceará, with 167 nursing professionals in 2016. Sociodemographic/occupational questionnaire and Negative Acts Questionnaire Revised were applied. The analysis included descriptive statistics, measures of central tendency and dispersion, as well as Mann-Whitney, Kruskal-Wallis and Conover Inman U-tests for multiple comparisons. Results: there was a 33% prevalence of self-perception of moral harassment, highlighting personal/professional disqualification and work-related harassment. The predictors of moral harassment included age, time working in the job and time in the unit, employment relationship and sector. Conclusions: young professionals (< 30 years), cooperative, crowded in intensive care or emergency units, with less time working in the job (< 5 years) or greater time in the unit (above 10 years) are the biggest victims of moral harassment in the work of nursing in critical environments.


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