scholarly journals The Influence of Clinical Nurses' Empathy on their Death Competence: A Cross-Sectional Survey Study

Author(s):  
Jiahao Wang ◽  
Zhengying Chen ◽  
Yiting Liu ◽  
Xiaoli Liao ◽  
Liuxin Long ◽  
...  

Abstract BackgroundEmpathy and death competence are important competences for clinical nurses. However, there is no clear consensus about what impact empathy has on death competency. Our study aimed to understand the status of the empathy and death competence of clinical nurses in China and to explore the effect of empathy on their competence.MethodsFor a survey conducted from May–June 2021, 1415 clinical nurses were selected by convenience sampling as the research objects. The Coping with Death Scale, the Jefferson Scale of Empathy—Health Professionals and a general information questionnaire designed by the researchers were used to investigate the status of the empathy and death competence of clinical nurses. The relationship between empathy and death competence was analysed by Pearson correlation, and the influence of the empathy of clinical nurses on their death competence was analysed by a hierarchical regression model.ResultPearson correlation analysis revealed that death competence was positively correlated with each dimension of empathy. Hierarchical regression model analysis revealed that after controlling for the influence of general information, nurses' empathy had a significant influence on their death competence, and this independently explained 5.8% of the variance in death competence.ConclusionsThe death competence of the clinical nurses in this sample was moderate to low level. Emotional nursing and transposition thinking are important influencing factors of death competence. Nursing managers should improve the empathy of clinical nurses to promote their death competence.

2018 ◽  
Vol 20 (2) ◽  
Author(s):  
Winnie Thembisile Maphumulo ◽  
Busisiwe Bhengu

The National Department of Health in South Africa has introduced the National Core Standards (NCS) tool to improve the quality of healthcare delivery in all public healthcare institutions. Knowledge of the NCS tool is essential among healthcare providers. This study investigated the level of knowledge on NCS and how the NCS tool was communicated among professional nurses. This was a cross-sectional survey study. Purposive sampling technique was used to select hospitals that only offered tertiary services in KwaZulu-Natal. Six strata of departments were selected using simple stratified sampling. The population of professional nurses in the selected hospitals was 3 050. Systematic random sampling was used to recruit 543 participants. The collected data were analysed using SPSS version 25. The study showed that only 16 (3.7%) respondents had knowledge about NCS, using McDonald’s standard of learning outcome measured criteria regarding the NCS tool. The Pearson correlation coefficient between the communication and knowledge was r = 0.055. The results revealed that although the communication scores for the respondents were high their knowledge scores remained low. This study concluded that there is a lack of knowledge regarding the NCS tool and therefore healthcare institutions need to commit themselves to the training of professional nurses regarding the NCS tool. The findings suggest that healthcare institutions implement the allocation of incentives for nurses that attend the workshops for NCS.


2021 ◽  
pp. 205343452110094
Author(s):  
Mara EJ Bouwmans ◽  
Juliëtte A Beuken ◽  
Daniëlle ML Verstegen ◽  
Laura van Kersbergen ◽  
Diana HJM Dolmans ◽  
...  

Introduction While the popularity of international care is rising, the complexity of international care compromises patient safety. To identify risks and propose solutions to improve international care, this study explores experiences of healthcare workers with international handovers in a European border region. Methods A cross-sectional survey design was used to reach out to 3000 healthcare workers, working for hospitals or emergency services in three neighboring countries in the Meuse-Rhine Euregion. In total, 846 healthcare workers completed the survey with 35 closed- and open-ended questions about experiences with international patient handover. Results One-third of respondents had been involved in international handover in the previous month. The handovers occurred in planned and acute care settings and were supported by numerous, yet varying standardized procedures. Healthcare workers were trained for this in some, but not all settings. Respondents mentioned 408 risks and proposed 373 solutions, which were inductively analyzed. Six identified themes classify the level on which risks and accompanying solutions can be found: awareness, professional competencies, communication between professionals, loss of information, facilities and support, and organizational structure. Discussion This study gives insight in international patient handovers in a European border region. Among the biggest risks experienced are procedural differences, sharing patient information, unfamiliarity with foreign healthcare systems, and not knowing roles and responsibilities of peers working across the border. Standardization of procedures, harmonization of systems, and the possibility for healthcare workers to get to know each other will contribute to reach common ground and move towards optimized and patient-safer cross-border care.


2021 ◽  
Author(s):  
Ya-wen Wang ◽  
Xiao-Xia Qiu

Abstract Objective This study is designed to investigate the status of kinesiophobia and related factors in tumor patients with the implanted port. Methods A total of 282 patients with the implanted port in the Oncology Department and the Daytime Chemotherapy Center in Ren ji Hospital, Shanghai Jiao Tong University School of Medicine, from April 1st,2021 to May 31༌2021 were selected for the interview by using the self-made general information questionnaire, TSK-11 scale. Results The TSK-11 score of the 282 patients was(17.84 ± 6.06)points, 45.7% of the patients reported some degree of kinesiophobia (TSK-11 ≥ 18), and 18.4% of the patients had scores rated as moderate to severe (TSK-11 ≥ 25), the highest score was 34 points. Logistic regression analysis results showed that exercise habits (P = 0.025), pain (P = 0.023) and foreign body sensation (P = 0.003) were the important factors of kinesiophobia. Conclusion The occurrence of kinesiophobia is common in tumor patients with the TIAP, and it is closely related to the subjective experience of daily activities, which requires more attention and early intervention to reduce the potential adverse effects.


BMJ Open ◽  
2018 ◽  
Vol 8 (3) ◽  
pp. e020605 ◽  
Author(s):  
Xiaojun Liu ◽  
Anran Tan ◽  
Samuel D Towne Jr ◽  
Zhaoxun Hou ◽  
Zongfu Mao

ObjectiveGeneral practitioners (GPs) are highly underutilised in China with many patients going directly to hospitals when seeking routine care. Multiple countries around the world have successfully used GPs in routine care, and as such, China may benefit from the use of GPs. This study examines the status of, and factors associated with, knowledge related to GPs among outpatient populations from China’s tertiary hospitals.DesignThis is a cross-sectional survey study.Study setting and participantsThe questionnaires were completed by 565 outpatients from four tertiary hospitals in China during 2016. Convenience sampling on different floors and throughout the outpatient building was carried out.Primary outcome measuresWe used the logistic regression models to identify GP-related knowledge among different populations.ResultsOverall, 50.27% of respondents said they had never heard of GPs. This was also true among females (adjusted OR (AOR)=1.57, 95% CI 1.43 to 2.71), older adults (AOR46–65=1.61, 95% CI 1.39 to 2.98; AOR>65=2.01, 95% CI 1.62 to 3.59), those with lower education level (AORBachelor’s degree=0.61, 95% CI 0.20 to 0.81; AOR≥Master’s degree=0.49, 95% CI 0.23 to 0.76), rural residents (AOR=1.51, 95% CI 1.35 to 2.82) and those with chronic disease (AORwithout chronic disease=0.61, 95% CI 0.22 to 0.71). What is more, less than one-in-ten (9.03%) outpatients were able to accurately describe what a GP was, with less than 30% accurately describing a GP among those receiving GPs’ services.ConclusionsOutpatients who could have received less costly health services from GPs in primary medical institutions were more likely to choose costlier specialist physicians in tertiary hospitals, which is likely linked to limited knowledge about GPs. Policy makers should invest in outreach efforts to improve public awareness of GPs, while at the same time conducting continued surveillance of these efforts to evaluate progress towards this goal.


2020 ◽  
Vol 9 (9) ◽  
pp. e709997765
Author(s):  
Nigatuwa Worku Woyessa ◽  
Tigist Admas Gelaw

The primary purpose of this study was to examine the prevalence of burnout among university academicians in Ethiopia in relation with emotional intelligence and areas of work life factors. Descriptive survey study design, specifically cross-sectional survey was employed. 375 academic staffs were selected by using proportionate stratified random sampling method. Purposive sampling was followed to select 6 universities and two   universities from each generation of universities. Maslach Burnout Inventory 22 items of Educators Survey, 28 items of the Areas of Work life Survey and 33 items of Brief Emotional Intelligence Scale (BEIS-10) were used to collect information from respondents. Relationship of variables with burnout was tested using Pearson correlation coefficients and two sample t-test. The findings of the present study showed that there was moderate level of burnout on the university academicians. Emotional intelligence have significant association at 0.01 and the association is positive and very strongly with burnout. Work area life has positive and very strong association with burnout level among university academic staff which is significant at 0.01 two tailed test. Finally the concerned bodies should consider different direction to prevent academicians from burnout and it is also recommended that administrators and the educationists utilize these findings to develop and improve teacher performance and prevent the on-set of burnout.


2020 ◽  
Author(s):  
Khanh Ngoc Cong Duong ◽  
Tien Nguyen Le Bao ◽  
Phuong Thi Lan Nguyen ◽  
Thanh Vo Van ◽  
Toi Phung Lam ◽  
...  

BACKGROUND The first nationwide lockdown due to the COVID-19 pandemic was implemented in Vietnam from April 1 to 15, 2020. Nevertheless, there has been limited information on the impact of COVID-19 on the psychological health of the public. OBJECTIVE This study aimed to estimate the prevalence of psychological issues and identify the factors associated with the psychological impact of COVID-19 during the first nationwide lockdown among the general population in Vietnam. METHODS We employed a cross-sectional study design with convenience sampling. A self-administered, online survey was used to collect data and assess psychological distress, depression, anxiety, and stress of participants from April 10 to 15, 2020. The Impact of Event Scale-Revised (IES-R) and the Depression, Anxiety, and Stress Scale-21 (DASS-21) were utilized to assess psychological distress, depression, anxiety, and stress of participants during social distancing due to COVID-19. Associations across factors were explored using regression analysis. RESULTS A total of 1385 respondents completed the survey. Of this, 35.9% (n=497) experienced psychological distress, as well as depression (n=325, 23.5%), anxiety (n=195, 14.1%), and stress (n=309, 22.3%). Respondents who evaluated their physical health as average had a higher IES-R score (beta coefficient [B]=9.16, 95% CI 6.43 to 11.89), as well as higher depression (B=5.85, 95% CI 4.49 to 7.21), anxiety (B=3.64, 95% CI 2.64 to 4.63), and stress (B=5.19, 95% CI 3.83 to 6.56) scores for DASS-21 than those who rated their health as good or very good. Those who self-reported their health as bad or very bad experienced more severe depression (B=9.57, 95% CI 4.54 to 14.59), anxiety (B=7.24, 95% CI 3.55 to 10.9), and stress (B=10.60, 95% CI 5.56 to 15.65). Unemployment was more likely to be associated with depression (B=3.34, 95% CI 1.68 to 5.01) and stress (B=2.34, 95% CI 0.84 to 3.85). Regarding worries about COVID-19, more than half (n=755, 54.5%) expressed concern for their children aged <18 years, which increased their IES-R score (B=7.81, 95% CI 4.98 to 10.64) and DASS-21 stress score (B=1.75, 95% CI 0.27 to 3.24). The majority of respondents (n=1335, 96.4%) were confident about their doctor’s expertise in terms of COVID-19 diagnosis and treatment, which was positively associated with less distress caused by the outbreak (B=–7.84, 95% CI –14.58 to –1.11). CONCLUSIONS The findings highlight the effect of COVID-19 on mental health during the nationwide lockdown among the general population in Vietnam. The study provides useful evidence for policy decision makers to develop and implement interventions to mitigate these impacts. CLINICALTRIAL


Author(s):  
Kagan Kircaburun ◽  
İrfan Süral ◽  
Evita March ◽  
Sabah Balta ◽  
Emrah Emirtekin ◽  
...  

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