scholarly journals Patient Safety Silence and Safety Nursing Activities: Mediating Effects of Moral Sensitivity

Author(s):  
Hyo-eun Jeong ◽  
Keum-hee Nam ◽  
Heui-yeoung Kim ◽  
Yu-jung Son

Among the factors that threaten patient safety and quality of care due to the diversification and complication of hospital environments, nurses play a pivotal role regarding patient safety in the clinical setting. This study investigates the mediating effects of moral sensitivity on the relationship between nurses’ patient safety silence and safety nursing activities and contributes to developing strategies. Nurses (n = 120) employed for at least one year in two university hospitals in Korea between 1 September and 30 October 2020 participated in the study. Data were analyzed using t-test, Pearson’s correlation coefficients, and multiple regression using the SPSS/WIN 22.0 program. Additionally, the mediating effects were analyzed using Baron and Kenny’s method and bootstrapping. Safety nursing activities were significantly negatively correlated with patient safety silence and significantly positively correlated with moral sensitivity. Patient safety silence was significantly negatively correlated with moral sensitivity. Moral sensitivity partially mediated the relationship between patient safety silence and safety nursing activities. There is a need to develop and implement individualized ethical programs that enhance moral sensitivity in nurses to promote patient safety nursing activities.

Healthcare ◽  
2021 ◽  
Vol 9 (7) ◽  
pp. 826
Author(s):  
Hyesun Kim ◽  
Kawoun Seo

Nurses’ job engagement could help improve the quality of nursing services, and person-centered nursing is expected to play an important role in this relationship. However, little is known about the role of person-centered nursing in the association between job engagement and quality of nursing services. This study examines the moderating and mediating effects of person-centered nursing on the relationship between the job engagement and the quality of nursing services in Korean nurses. In October 2020, 200 hospital nurses were surveyed at three university hospitals. The moderating and mediating effects of person-centered nursing were determined using hierarchical regression analysis. There was a significant positive correlation between job engagement, person-centered nursing, and quality of nursing services. Person-centered nursing was found to have a mediating and moderating role in the relationship between job engagement and quality of nursing service. In conclusion, in the impact of job engagement on the quality of nursing service, it plays a buffering role, and the job engagement of nurses improves the quality of nursing services through improvement of person-centered nursing. Therefore, this study recommends the development and implementation of an educational program to foster person-centered nursing in order to improve the quality of nursing services.


2021 ◽  
pp. 108482232110021
Author(s):  
Alireza Nikbakht Nasrabadi ◽  
Leila Mardanian Dehkordi ◽  
Fariba Taleghani

Transitional care is a designed plan to ensure the continuity of care received by patients as they transfer between different locations or levels of care. The aim of this paper is to explore nurses’ experiences of transitional care in multiple chronic conditions. A qualitative method with a conventional content analysis approach was utilized. The study was conducted at university hospitals in 2 big cities (Isfahan and Tehran) of Iran. This study is performed from November 2018 to December 2019 using deep, semi-structured, and face-to-face interviews which are focused on nurses’ experiences of transitional care. Data collection continued until saturation was reached. Finally, 15 nurses take part in this study. Data collection and data analysis were conducted concurrently. Data were analyzed using Graneheim and Lundman’s techniques. Two main themes providing a descriptive summary of the major elements of transitional care identified: “threat to patient safety” and “Care breakdown”. Findings showed an exclusive image of unsafe transitional care which was done unplanned without appropriate delegating care to family and threat patient safety. There is still a gap in the transition from hospital to home. Nursing managers can address this issue by creating a culture of teamwork, training competent nurses by continuum education, and more supervision of nursing care. Policymakers can ensure continuity of care by developing policies and programs about transitional care.


Author(s):  
Bernadette Egede ◽  

The nexus between academic performance, nutrition and eating habit is globally recognized to the extent that it has inspired various strategies such as ‘school feeding programmes’ in many nations including Nigeria. This correlational study was aimed to evaluate the relationship between the eating habits of primary school pupils and their academic performance, using a survey design. Fifty pupils in two intact classes from two schools in rural areas, formed the sample. Data was collected using interviewer-questionnaire, coupled with naturalistic observation, for the eating habits and their results from the term’s examination done within the same periodin the schools. The data was analyzed using SPSS – 23 to determine the correlation coefficients. The results suggest that there is strong relationship between pupils’ eating habits, in terms of frequency of feeding, quality of feeding pattern, and quality of breakfast and their academic performance. In addition, the pupils perceived that eating light breakfast enhances their attention span to learn unlike, skipping of breakfast and eating heavy breakfast. The results of this study provide empirical evidence which can be used to encourage parents in rural areas to provide adequate nutrition for their wards/children to enhance their performance in school as recommended in this paper.


2021 ◽  
Vol 28 (3) ◽  
pp. 384-394
Author(s):  
Kawoun Seo

Purpose: This study was done to investigate the mediating effects of acceptance action on the relationship between diabetes self-stigma and quality of life in diabetes patients.Methods: For this study a descriptive research approach was used. Patients (237) with a diagnosis of diabetes mellitus from a doctor of endocrinology were included. Data collection was done from March 26, to March 28, 2020. Data were analyzed using descriptive statistics, t-test, one-way ANOVA, Pearson’s correlation coefficient analysis, and hierarchecal multiple regression.Results: The mean scores for diabetes self-stigma, acceptance action and quality of life were 2.67±0.71, 4.12±0.38, and 3.26±0.48, respectively. Acceptance action was found to partial mediate the relationship between diabetes self-stigma and quality of life (z=-4.20, p<.001), and its explanatory power was 17.6%.Conclusion: To improve the quality of life among patients with diabetes in diabetes self-stigma situations, it is necessary to improve their acceptance action and develop step-by-step and differentiated acceptance action enhancement programs through multidisciplinary collaboration.


2020 ◽  
Vol 30 (Supplement_2) ◽  
Author(s):  
A C Martins ◽  
P Francisco

Abstract Introduction Recognizing that AT service characteristics, including knowledge and reasoning of providers, play a potential role in the appropriated selection and training, with impact on the psychosocial domains of QoL. In Portugal, AT services are detected to be ineffective concerning evaluation, recommendation, advocacy, training and outcome measuring, what could be a reason for these findings. Objectives To investigate the relationship between AT services characteristics and psychosocial impact of the wheelchairs on users QoL to get insights to new approach models in physiotherapy. Methodology Procedures included answering to self-administered questionnaires at their own. The dependent variable was the psychosocial impact of assistive devices (PIADS) and the independent variables were satisfaction with AT (QUEST) and AT service characteristics. Results Participants were 184 wheelchair users for more than one year with diverse diagnosis; age M = 37.3 years, recruited at physiotherapy/rehabilitation settings in Portugal. Wheelchair users are more satisfied with devices than with AT services. Correlations between psychosocial impact of wheelchair are moderate regarding the satisfaction of device dimension, measured by QUEST. No corrections were found to satisfaction with service dimension Manual wheelchair users scored lower psychosocial impact than motorized wheelchair users and that difference was statistically significant. Conclusion PT should be aware of the newest high technology devices introduced on the market, payment sources and state AT programs as well as destigmatize dependence associated to AT. We got significant insights to AT field and to the development of PT curriculum; PT students need more than the basic level of knowledge and training they achieved at school to feel prepared to provide AT services. After graduation, PTs need continuing education on AT. Strategies are discussed on this report.


2019 ◽  
Vol 50 (1) ◽  
pp. 161-169 ◽  
Author(s):  
Haruka Kasamatsu ◽  
Akiko Tsuchida ◽  
Kenta Matsumura ◽  
Moeko Shimao ◽  
Kei Hamazaki ◽  
...  

AbstractBackgroundPostpartum depression is a major mental health issue. It not only adversely affects the mother's quality of life, but also mother-infant bonding. However, the relationship between postpartum depression (at multiple points after childbirth) and mother-infant bonding failure one year after birth is not well understood. This study investigates the relationship between postpartum depression at 1-month and 6-month after birth and mother-infant bonding failure at 1 year after birth with a large cohort.MethodsData from 83 109 mothers from the Japan Environment and Children's Study were analyzed. Mother-infant bonding 1-year after delivery was assessed using the Mother-to-Infant Bonding Scale Japanese version (MIBS-J). Postpartum depression was measured using the Edinburgh Postnatal Depression Scale (EPDS) at 1-month and 6-month after delivery. Twenty covariates during pregnancy and one month after delivery were controlled for deriving the odds ratios (ORs) describing postpartum depression to mother-infant bonding.ResultsEPDS Total Score crude ORs and adjusted ORs against the MIBS-J Total Score at 1-month and 6-month after delivery were calculated. Crude ORs were 1.111 (95% CI 1.110–1.112) and 1.122 (95% CI 1.121–1.124) respectively. In the fully adjusted model, ORs were 1.088 (95% CI 1.086–1.089) and 1.085 (95% CI 1.083–1.087), respectively.ConclusionsThis study demonstrated prospectively, in a large-scale cohort, that depression at multiple postpartum points, including associations with each EPDS and MIBS-J factors, may be a robust predictor of mother-infant bonding failure 1-year after birth.


1996 ◽  
Vol 26 (4) ◽  
pp. 253-256
Author(s):  
Sue Blyth ◽  
Gillian Straker

It is generally accepted in the literature that, of all couple types, lesbian couples tend to have the lowest frequencies of sexual contact. It has been hypothesized that a reason for this is that lesbian couples are more subject than others to fusion. This study examines the relationship between frequency of sexual contact and fusion in lesbian relationships of duration longer than one year. The concept of fusion has, however, not been clearly defined. Although Mencher (1990), for example, states that fusion is akin to, but not the same as, intense intimacy, fusion is treated within the literature as if it lay on a continuum of intimacy. In the design of this study, fusion was thus defined as a very high level of intimacy, as measured on the Personal Assessment of Intimacy in Relationships (PAIR) Inventory. Spearman correlation coefficients were calculated and scatter graphs plotted to explore the possible existence of significant linear and non-linear relationships between fusion and frequency of sexual contact. The results of this study indicate that the conceptualization of fusion as very high intimacy should be questioned. The results suggest that fusion is not synonymous with intense intimacy and this article argues for a clearer definition and operationalizatian of the important concept of fusion.


BMJ Open ◽  
2020 ◽  
Vol 10 (9) ◽  
pp. e039711
Author(s):  
Hui Zhang ◽  
Yi Zhao ◽  
Ping Zou ◽  
Yang Liu ◽  
Shuanghong Lin ◽  
...  

ObjectivesHigh levels of organisational citizenship behaviour can enable nurses to cooperate with coworkers effectively to provide a high quality of nursing care during the outbreak of COVID-19. However, the association between autonomy, optimism, work engagement and organisational citizenship behaviour remains largely unexplored. This study aimed to test if the effect of autonomy on organisational citizenship behaviour through the mediating effects of optimism and work engagement.Study designThis was a cross-sectional study.SettingThe study was conducted in the Wuhan Jinyintan Hospital in China.ParticipantsIn total, 242 nurses who came from multiple areas of China to work at the Wuhan Jinyintan hospital during the COVID-19 epidemic participated in this study.MethodsA serial mediation model (model 6) of the PROCESS macro in SPSS was adopted to test the hypotheses, and a 95% CI for the indirect effects was constructed by using Bootstrapping.ResultsThe autonomy–organisational citizenship behaviour relationship was mediated by optimism and work engagement, respectively. In addition, optimism and work engagement mediated this relationship serially.ConclusionThe findings of this study may have implications for improving organisational citizenship behaviour. The effects of optimism and work engagement suggest a potential mechanism of action for the autonomy–organisational citizenship behaviour linkage. A multifaceted intervention targeting organisational citizenship behaviour through optimism and work engagement may help improve the quality of nursing care among nurses supporting patients with COVID-19.


2017 ◽  
Vol 26 (12) ◽  
pp. 2410-2416
Author(s):  
Jimin Wang ◽  
Gary W. Brudvig ◽  
Victor S. Batista ◽  
Peter B. Moore

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