scholarly journals A Heuristic Journey of Discovery: Exploring the Positive Influence of the Natural Environment on the Human Spirit

2021 ◽  
Author(s):  
◽  
Annette Frances Bridgen

<p>The intention of this heuristic study was to explore and discover the essence of the positive influence of the natural environment on the human spirit. The study quest was identified as a central concern that evolved from my personal experience of spiritual awakening in the natural environment and an interest in the concept of connectedness in nursing care and practice. The study also focused on the self of the nurse and the qualities of holistic nursing care. Guided by heuristic methodology developed by Moustakas (1990) the thesis traces a journey of discovery. Using conversational interviews, six nurses were asked to describe their experiences of their spirit being positively influenced in the natural environment. These nurses were also asked if these beneficial experiences had any flow-on effect to their nursing practice. From these interviews various commonalities of experience were identified as well as some experiences unique to the individual participants. The participant knowing was articulated using Reed’s (1992) dimensions of relatedness in spirituality as a framework. Reed describes these dimensions as being able to be experienced intrapersonally, interpersonally and transpersonally. A substantive body of nursing and non-nursing literature was explored to support the participant knowing and provide strength to the discussion. The study discovered that the human spirit is positively influenced in the natural environment. The three actions of personal healing and wellbeing in the natural environment, knowing self – knowing others and sustaining self in nursing practice were valued by the participants as contributing to the quality of their nursing care. In bringing together spirituality, the natural environment and nursing, holism was discovered to be the significant and connecting constituent. The study has some implications for the discipline of nursing that are also discussed.</p>

2021 ◽  
Author(s):  
◽  
Annette Frances Bridgen

<p>The intention of this heuristic study was to explore and discover the essence of the positive influence of the natural environment on the human spirit. The study quest was identified as a central concern that evolved from my personal experience of spiritual awakening in the natural environment and an interest in the concept of connectedness in nursing care and practice. The study also focused on the self of the nurse and the qualities of holistic nursing care. Guided by heuristic methodology developed by Moustakas (1990) the thesis traces a journey of discovery. Using conversational interviews, six nurses were asked to describe their experiences of their spirit being positively influenced in the natural environment. These nurses were also asked if these beneficial experiences had any flow-on effect to their nursing practice. From these interviews various commonalities of experience were identified as well as some experiences unique to the individual participants. The participant knowing was articulated using Reed’s (1992) dimensions of relatedness in spirituality as a framework. Reed describes these dimensions as being able to be experienced intrapersonally, interpersonally and transpersonally. A substantive body of nursing and non-nursing literature was explored to support the participant knowing and provide strength to the discussion. The study discovered that the human spirit is positively influenced in the natural environment. The three actions of personal healing and wellbeing in the natural environment, knowing self – knowing others and sustaining self in nursing practice were valued by the participants as contributing to the quality of their nursing care. In bringing together spirituality, the natural environment and nursing, holism was discovered to be the significant and connecting constituent. The study has some implications for the discipline of nursing that are also discussed.</p>


Author(s):  
Sheela. J ◽  
Malarvizhi. S ◽  
Mony. K

Structured Nursing rounds (SNR) are one of the quality indicators for the inpatients admitted in the Medical-Surgical care settings. Conducting systematic nursing care rounds is complementary to individual holistic nursing practice. It is one way of ensuring the highest standards in nursing care. We can also fruitfully reap its benefits. It improves patient satisfaction in the delivery of the quality of care.


2011 ◽  
Vol 4 (13) ◽  
pp. 102-110
Author(s):  
Alica Lacková ◽  
Marta Karkalíková

Quality of Educational Programs in Life-long Learning The paper deals with a systematic approach to education as well as to other areas, which represents a tool ensuring that education was performed effectively and efficiently, that it had positive influence on the society and the individual and it had improved their job performance and quality of life. This rational approach to the development of educational programs, their execution and quality evaluation enables to reach strategic education aims successfully and in a way that they suit and stimulate the requirements of practice.


BMC Nursing ◽  
2019 ◽  
Vol 18 (1) ◽  
Author(s):  
Sahar Rajabpour ◽  
Masoud Rayyani ◽  
Parvin Mangolian shahrbabaki

Abstract Background Holistic care is comprehensive care that emphasizes the interaction of human existential dimensions and has a significant role in accelerating the recovery process. Since nurses interact and communicate with patients more than other health care providers, the current study aimed to determine the Iranian patients’ perceptions of holistic care and overall satisfaction with nursing care. Methods It is a descriptive-correlational study done on patients admitted to the oncology wards of hospitals in southeastern Iran. The holistic caring inventory and patient satisfaction instrument were used to measure the patients’ perceptions of holistic care and their satisfaction, respectively. SPSS 19 was used to analyze the data. Results The results showed that there is a significant positive correlation between patients’ perception of holistic care and overall satisfaction with nursing care (P < 0.01, r = 032), which means that the higher the patients’ perception of holistic care, the greater their overall satisfaction. Based on the regression model, type of hospital, Patient’s perception of holistic care, education, previous experience of hospitalization, age and marriage are respectively predictors of overall satisfaction with nursing care (P < 0.05). Conclusion The present study showed that patients’ overall satisfaction with nursing care depends on holistic nursing care, meaning that nurses should pay attention to patients’ physical, mental, emotional aspects and increase the quality of care.


Author(s):  
Aurileide Sales da Silva Santos

Trata-se de um estudo que realiza uma discussão a respeito do Infarto Agudo do Miocárdio (IAM). Tendo como objetivo demonstrar qual relevância da atuação da enfermagem diante do paciente acometido pela IAM, assim como, procura descrever o conceito da patologia e identificar os fatores de risco para o desenvolvimento da mesma. O trabalho foi construído mediante pesquisa bibliográfica com abordagem do tipo qualitativa. O IAM trata-se de uma patologia do aparelho cardiovascular, estando associado a fatores como obesidade, sedentarismo, tabagismo e Doenças Crônicas Não Transmissíveis. Em relação ao papel do enfermeiro frente ao paciente com IAM, foi evidenciado que o mesmo atua em diversos momentos da assistência hospitalar, devendo fazer uso da Sistematização da Assistência em Enfermagem (SAE) como forma de garantir a qualidade do atendimento. Ao final percebe-se que o enfermeiro possui um papel muito importante dentro da assistência prestada ao paciente internado vítima de IAM.Descritores: Infarto Agudo do Miocárdio, Enfermeiro, Assistência. Nursing the patient with acute myocardial infarction (AMI)Abstract: This is a study that discusses acute myocardial infarction (AMI). The purpose of this study was to demonstrate the relevance of nursing practice to the patient affected by AMI, as well as to describe the concept of the pathology and to identify the risk factors for its development. The work was constructed through bibliographical research with a qualitative approach. AMI is a pathology of the cardiovascular system, being associated to factors such as obesity, sedentary lifestyle, smoking and Non-Communicable Chronic Diseases. Regarding the role of the nurse in relation to the patient with AMI, it was evidenced that it acts at various moments of hospital care, and should make use of Nursing Care Systematization (SAE) as a way to guarantee the quality of care. At the end of the day nurses have a very important role in the care given to inpatients suffering from acute myocardial infarction.Descriptors: Acute Myocardial Infarction, Nurse, Care. Actuación de la enfermería al paciente con infarto agudo del miocardio (IAM)Resumen: Se trata de un estudio que realiza una discusión acerca del Infarto Agudo del Miocardio (IAM). Con el objetivo de demostrar cual relevancia de la actuación de la enfermería ante el paciente acometido por la IAM, así como, procura describir el concepto de la patología e identificar los factores de riesgo para el desarrollo de la misma. El trabajo fue construido mediante investigación bibliográfica con abordaje del tipo cualitativo. El IAM se trata de una patología del aparato cardiovascular, estando asociado a factores como obesidad, sedentarismo, tabaquismo y enfermedades crónicas no transmisibles. En cuanto al papel del enfermero frente al paciente con IAM, se evidenció que el mismo actúa en diversos momentos de la asistencia hospitalaria, debiendo hacer uso de la Sistematización de la Asistencia en Enfermería (SAE) como forma de garantizar la calidad de la atención. Al final se percibe que el enfermero tiene un papel muy importante dentro de la asistencia prestada al paciente internado víctima de IAM.Descriptores: Infarto Agudo del Miocardio, Enfermero, Asistencia.


Author(s):  
Aurileide Sales da Silva Santos ◽  
Jonas Magno dos Santos Cesário

Trata-se de um estudo que realiza uma discussão a respeito do Infarto Agudo do Miocárdio (IAM). Tendo como objetivo demonstrar qual relevância da atuação da enfermagem diante do paciente acometido pela IAM, assim como, procura descrever o conceito da patologia e identificar os fatores de risco para o desenvolvimento da mesma. O trabalho foi construído mediante pesquisa bibliográfica com abordagem do tipo qualitativa. O IAM trata-se de uma patologia do aparelho cardiovascular, estando associado a fatores como obesidade, sedentarismo, tabagismo e Doenças Crônicas Não Transmissíveis. Em relação ao papel do enfermeiro frente ao paciente com IAM, foi evidenciado que o mesmo atua em diversos momentos da assistência hospitalar, devendo fazer uso da Sistematização da Assistência em Enfermagem (SAE) como forma de garantir a qualidade do atendimento. Ao final percebe-se que o enfermeiro possui um papel muito importante dentro da assistência prestada ao paciente internado vítima de IAM.Descritores: Infarto Agudo do Miocárdio, Enfermeiro, Assistência. Nursing the patient with acute myocardial infarction (AMI)Abstract: This is a study that discusses acute myocardial infarction (AMI). The purpose of this study was to demonstrate the relevance of nursing practice to the patient affected by AMI, as well as to describe the concept of the pathology and to identify the risk factors for its development. The work was constructed through bibliographical research with a qualitative approach. AMI is a pathology of the cardiovascular system, being associated to factors such as obesity, sedentary lifestyle, smoking and Non-Communicable Chronic Diseases. Regarding the role of the nurse in relation to the patient with AMI, it was evidenced that it acts at various moments of hospital care, and should make use of Nursing Care Systematization (SAE) as a way to guarantee the quality of care. At the end of the day nurses have a very important role in the care given to inpatients suffering from acute myocardial infarction.Descriptors: Acute Myocardial Infarction, Nurse, Care. Actuación de la enfermería al paciente con infarto agudo del miocardio (IAM)Resumen: Se trata de un estudio que realiza una discusión acerca del Infarto Agudo del Miocardio (IAM). Con el objetivo de demostrar cual relevancia de la actuación de la enfermería ante el paciente acometido por la IAM, así como, procura describir el concepto de la patología e identificar los factores de riesgo para el desarrollo de la misma. El trabajo fue construido mediante investigación bibliográfica con abordaje del tipo cualitativo. El IAM se trata de una patología del aparato cardiovascular, estando asociado a factores como obesidad, sedentarismo, tabaquismo y enfermedades crónicas no transmisibles. En cuanto al papel del enfermero frente al paciente con IAM, se evidenció que el mismo actúa en diversos momentos de la asistencia hospitalaria, debiendo hacer uso de la Sistematización de la Asistencia en Enfermería (SAE) como forma de garantizar la calidad de la atención. Al final se percibe que el enfermero tiene un papel muy importante dentro de la asistencia prestada al paciente internado víctima de IAM.Descriptores: Infarto Agudo del Miocardio, Enfermero, Asistencia.


Author(s):  
Dilek Kara

Abstract Nowadays the importance of scientific knowledge has been increasing and healt-care applications are changing rapidly. The increasingly aging population, chronic treatment of acute illness depending on which treatment applications have changed the perspective on the quality of the patient's care and maintenance. Innovation is the most important tool for improving the community's quality of life. Usually, the concept of innovation in the health sector and in particular for nursing, new approaches, technologies and ways of working is described as a process of development. Innovatio is vital for improving the quality of nursing care and it’s sustainability. The planning of nursing practice, submission and evaluation of the use of innovative strategies are among the key factors that directly affect the quality of the service. Based on all of these reasons and in the light of the literature, this compilation is prepared to offer information of innovation in nursing practice. Keywords: innovation, examples of innovation, nursing.


BMJ Open ◽  
2020 ◽  
Vol 10 (8) ◽  
pp. e036349
Author(s):  
Victoria Leclercq ◽  
Charlotte Beaudart ◽  
Sara Ajamieh ◽  
Ezio Tirelli ◽  
Olivier Bruyère

ObjectivesMeta-analyses (MAs) are often used because they are lauded to provide robust evidence that synthesises information from multiple studies. However, the validity of MA conclusions relies on the procedural rigour applied by the authors. Therefore, this meta-research study aims to characterise the methodological quality and meta-analytic practices of MAs indexed in PsycINFO.DesignA meta-epidemiological study.ParticipantsWe evaluated a random sample of 206 MAs indexed in the PsycINFO database in 2016.Primary and secondary outcomesTwo authors independently extracted the methodological characteristics of all MAs and checked their quality according to the 16 items of the A MeaSurement Tool to Assess systematic Reviews (AMSTAR2) tool for MA critical appraisal. Moreover, we investigated the effect of mentioning Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) on the methodological quality of MAs.ResultsAccording to AMSTAR2 criteria, 95% of the 206 MAs were rated as critically low quality. Statistical methods were appropriate and publication bias was well evaluated in 87% and 70% of the MAs, respectively. However, much improvement is needed in data collection and analysis: only 11% of MAs published a research protocol, 44% had a comprehensive literature search strategy, 37% assessed and 29% interpreted the risk of bias in the individual included studies, and 11% presented a list of excluded studies. Interestingly, the explicit mentioning of PRISMA suggested a positive influence on the methodological quality of MAs.ConclusionThe methodological quality of MAs in our sample was critically low according to the AMSTAR2 criteria. Some efforts to tremendously improve the methodological quality of MAs could increase their robustness and reliability.


2021 ◽  
Author(s):  
Devi Sahputra ◽  
Paul Lumbantobing ◽  
Cyruz P. Tuppla

Background: The quality of management has become a problem and significant issue of the late decade in Indonesia's professional nursing practice. By implementing total quality management (TQM), the organization would identify a health organization system's performance to improve patient satisfaction and patient safety for independent nursing practice services. Objective: This study aimed to assess the quality of independent nursing practice in Indonesia based on TQM indicators.Methods: This study employed a sequential explanatory mixed methods design. Participants were 105 Chief Executive Officers (CEOs) of independent nursing practices who answered a TQM survey using The Malcolm Baldrige Criteria for Performance Excellence (MBCfPE). The quantitative responses were analyzed using SmartPLS version 3.0. For qualitative data, selected six participants from total respondents were interviewed to explore the participants' understanding of TQM. All the responses were transcribed and uploaded using NVIVO ver. 11 for thematic analysis.Results: Leadership positively influenced strategic planning, customer attention, assessment analysis, and information management (focusing on personnel process management and efficiency) (p <0.001). In addition, process management indicated a positive influence on performance results (p <0.001). Interview transcriptions concentrated on the following themes that emerged, such as quality focus, service focus, human resource focus, performance result, leadership, service system design, strategic planning, and information system.Conclusion: TQM with the adaptation of MBCfPE criteria improves the organization's performance and serves as a strategic component in assessing and implementing sustainability change. The findings of this study can be used by CEOs of independent nursing practices for continuous improvement. In addition, the results serve as a basis for the ministry of health for accreditation to ensure the high quality of health care services.


2021 ◽  
pp. 147775092110401
Author(s):  
Tahereh Heidari ◽  
Hamideh Azimilolaty ◽  
Majid Khorram ◽  
Soraya Rezaei ◽  
Seyed-Nouraddin Mousavinasab ◽  
...  

Background Providing quality care is of the fundamental elements of holistic nursing practice, and burnout and moral intelligence of nurses be mentioned as the important factors influencing the quality of nursing care. The present study was conducted to investigate the relationship between moral intelligence, burnout, and the quality of nursing care. Methods This descriptive-correlative study was conducted on 125 nurses working in Sari-based Educational hospitals affiliated to Mazandaran University of Medical Sciences, Iran, between June and August 2020. The sample was selected via random sampling. The data were collected by the Maslach Burnout Inventory, Lennick and Kiel Moral Intelligence Scale, and Quality of Patient Care Scale. The data were analyzed by SPSS-21 and Amos-24. Results A direct and significant relationship was found between the quality of nursing care and moral intelligence ( r = 0.285, p = 0.001). Quality of care had an inverse relationship with subscales of frequency of burnout including emotional exhaustion ( r = −0.369, p < 0.001) and depersonalization ( r = −0.471, p < 0.001) and also, a direct relationship with personal accomplishment ( r = 0.226, p = 0.011). The findings also showed an inverse relationship between quality of care and subscales of the intensity of burnout. Amos software yielded results that demonstrated moral intelligence as a robust mediator between burnout and the quality of care. Conclusion The findings implied the necessity for more attention to moral intelligence as a mediator in order to come up with properly managing the personality traits influencing the nurses’ burnout reduction, which can ultimately lead to improved quality of nursing care.


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