Developing a new questionnaire to measure nurse caring behaviours: a mixed method study

2018 ◽  
Vol 6 (3) ◽  
pp. 405 ◽  
Author(s):  
Elisa Ambrosi ◽  
Federica Canzan ◽  
Alessandra Zenere ◽  
Mario Grassi ◽  
Stefano Tardivo ◽  
...  
Keyword(s):  
Mixed Method ◽  
Rating Scale ◽  
Daily Practice ◽  
Phenomenological Approach ◽  
Psychological Needs ◽  
Professional Relationships ◽  
Scaling Analysis ◽  
Convenience Sample ◽  
Nurse Caring ◽  
Qualitative Phenomenological

Rationale, aims and objective: Measuring nurse caring may provide empirical evidence to assist clinicians and administrators in making decisions. The aim of the present study was to develop a new scale, called the CARE-Italy, grounded in the Italian culture, for measuring nurses’ caring behaviours.Methods: A mixed method approach was applied in developing the instrument. The item generation and scale development were performed through a qualitative phenomenological approach and a focus group with a panel of experts. The provisional instrument was then administered to a convenience sample of 439 nurses and then questionnaire scaling and association analysis were performed. A dual scaling analysis of successive categories was performed to identify preferences on the rating scale. An item selection based on item-scale correlations and item weights was performed. Subjects’ mean scores were computed and standardized in a 100-point scale.Results: The 20 caring behaviours perceived by nurses to be the most important ones constitute the final version of the CARE-Italy questionnaire. They concern patients’ surveillance, professional relationships with patients, satisfying patients’ and family members’ practical and psychological needs, team consultation and nurses’ emotions.Conclusions:  A relational and paternalistic caring approach by Italian nurses seems to be suggested. The next step of the research project will be the validation process of the CARE-Italy questionnaire with a Likert scale measuring the occurrence of the 20 caring behaviours in daily practice.

Referral criteria: perceptions and experiences of district nursing students in Northern Ireland

2021 ◽  
Vol 26 (11) ◽  
pp. 532-538
Author(s):  
Charlene Young ◽  
Bernie Reid
Keyword(s):  
Nursing Students ◽  
Northern Ireland ◽  
Service Provision ◽  
Phenomenological Approach ◽  
Poor Quality ◽  
Ageing Population ◽  
Convenience Sample ◽  
Referral Criteria ◽  
Nursing Services ◽  
Qualitative Phenomenological

An ever-ageing population and widening health inequalities intensify the complexity of care that is now delivered within community settings by district nurses. Appropriate referral criteria are required to facilitate the enhancement of efficient and equitable district nursing service provision. This study aimed to explore district nursing students' perceptions and experiences of district nursing referral criteria in Northern Ireland. A qualitative phenomenological approach was adopted using a purposive convenience sample of 10 district nursing students. Data were collected during online focus group interviews and analysed using a thematic framework. Four themes emerged: referral criteria; insight and inconsistency; task versus patient-centred care; and misunderstanding the service and referral quality. The themes reflect a lack of consensus with respect to referral criteria, contributing to inappropriate and poor-quality referrals. Appropriate and quality referrals to district nursing services are key to assuring sustainable service provision. Suitable access to district nursing services may be enhanced by developing consensus referral criteria.

scholarly journals Network well-being from a balanced centricity perspective

2021 ◽  
Vol 35 (9) ◽  
pp. 1-14
Author(s):  
Fabian Groven ◽  
Gaby Odekerken-Schröder ◽  
Sandra Zwakhalen ◽  
Jan Hamers
Keyword(s):  
Conceptual Model ◽  
Service Providers ◽  
Well Being ◽  
Phenomenological Approach ◽  
Psychological Needs ◽  
Future Research ◽  
Content Type ◽  
Service Employees ◽  
Actor Networks ◽  
Qualitative Phenomenological

Purpose This paper aims to explore how tensions and alignments between different actors’ needs in a transformative services network affect balanced centricity, which is an indicator of well-being. Balanced centricity describes a situation in which all network actors’ interests and needs are fulfilled simultaneously. In such cases, all actors are better off, which increases both individual actors’ and overall actor-network well-being. Design/methodology/approach The empirical study takes place in nursing homes in which in-bed baths represent co-created service encounters that affect the well-being of focal actors (i.e. patients), frontline service employees (i.e. nurses) and transformative service mediators (i.e. family members), who have potentially competing needs. Using a qualitative, phenomenological approach, the study inductively explores and deductively categorizes actors’ personal experiences to gain deep, holistic insights into the service network and its complex web of actor interdependencies. Findings The resulting conceptual model of balanced centricity identifies actors’ lower-order needs as different manifestations of the psychological needs for autonomy, competence and relatedness. If actors’ needs are aligned, their psychological needs can be satisfied, which facilitates balanced centricity. If actors exhibit competing needs though, balanced centricity is impeded. Practical implications This study establishes actors’ psychological needs as the origin of tensions/alignments in multi-actor networks that impede/contribute to balanced centricity. Transformative service providers should try to address all actors’ psychological needs when co-creating services to achieve network well-being. Originality/value This study adopts a novel, multi-actor perspective and thereby presents a conceptual model that contributes to the understanding of balanced centricity. Future research could test this model in other transformative service settings.

scholarly journals ‘Somebody stuck me in a bag of sand’: Lived experiences of the altered and uncomfortable body after stroke

2021 ◽  
pp. 026921552110007
Author(s):  
Hannah Stott ◽  
Mary Cramp ◽  
Stuart McClean ◽  
Ailie Turton
Keyword(s):  
Support Groups ◽  
Phenomenological Study ◽  
Community Support ◽  
Phenomenological Approach ◽  
The Body ◽  
Stroke Survivors ◽  
Post Stroke ◽  
Personal Perceptions ◽  
Psychological Sense ◽  
Qualitative Phenomenological

Objective: This study explored stroke survivors’ experiences of altered body perception, whether these perceptions cause discomfort, and the need for clinical interventions to improve comfort. Design: A qualitative phenomenological study. Setting: Participants’ homes. Participants: A purposive sample of 16 stroke survivors were recruited from community support groups. Participants (median: age 59; time post stroke >2 years), were at least six-months post-stroke, experiencing motor or sensory impairments and able to communicate verbally. Interventions: Semi-structured, face-to-face interviews were analysed using an interpretive phenomenological approach and presented thematically. Results: Four themes or experiences were identified: Participants described (1) a body that did not exist; (2) a body hindered by strange sensations and distorted perceptions; (3) an uncontrollable body; and (4) a body isolated from social and clinical support. Discomfort was apparent in a physical and psychological sense and body experiences were difficult to comprehend and communicate to healthcare staff. Participants wished for interventions to improve their comfort but were doubtful that such treatments existed. Conclusion: Indications are that altered body perceptions cause multifaceted physical and psychosocial discomfort for stroke survivors. Discussions with patients about their personal perceptions and experiences of the body may facilitate better understanding and management to improve comfort after stroke.

scholarly journals Content validity of a sleep numerical rating scale and a sleep diary in adults and adolescents with moderate-to-severe atopic dermatitis

2020 ◽  
Vol 4 (1) ◽  
Author(s):  
Carla Dias-Barbosa ◽  
Rodolfo Matos ◽  
Margaret Vernon ◽  
Colleen E. Carney ◽  
Andrew Krystal ◽  
...  
Keyword(s):  
Atopic Dermatitis ◽  
Phase I ◽  
Sleep Disturbance ◽  
Content Validity ◽  
Rating Scale ◽  
Numerical Rating Scale ◽  
Sleep Diary ◽  
Convenience Sample ◽  
Concept Elicitation ◽  
Numerical Rating

Abstract Background The intense itching associated with atopic dermatitis (AD) often causes patients to experience severe sleep disturbance. Here, we describe the results of a two-phase concept elicitation and cognitive interview study to establish the content validity of a sleep disturbance numerical rating scale (SD NRS) and a Consensus Sleep Diary adapted for adults and adolescents with moderate-to-severe AD (CSD-AD©). Results In phase I, a concept elicitation conducted in 20 adults and 10 adolescents with moderate-to-severe AD revealed that the following sleep-related issues were important and relevant: nighttime awakening (87%), trouble falling asleep (73%), feeling unrested (53%), daytime fatigue or sleepiness (53%), and feeling as if they did not get enough sleep (33%). The frequency and extent of sleep disturbance varied substantially from day to day due to varying degrees of itching and flares, medication use, and changes in the weather. All participants understood the SD NRS question, with most finding it easy or very easy to understand (100% of adults and 90% of adolescents) and most understanding the anchors as intended (95% of adults, and 100% of adolescents). Most participants (94% of adults, and 90% of adolescents) indicated that they would consider a one- or two-point change meaningful on the SD NRS. The CSD-AD© was revised based on participant feedback, and tested during phase II in a convenience sample of six adults and four adolescents from phase I. The changes made to the CSD-AD© were confirmed to be relevant and understandable. All patients were able to provide an answer to each item in the CSD-AD©, and most were able to estimate the duration of nighttime awakenings, daytime naps, and dozing. Conclusions The study supported the content validity of the SD NRS and CSD-AD© in adults and adolescents with moderate-to-severe AD. It also emphasized the importance of using these instruments daily when assessing the benefit of a new treatment on sleep quality in this population.

Child Life Reduces Distress and Pain and Improves Family Satisfaction in the Pediatric Emergency Department

2018 ◽  
Vol 57 (13) ◽  
pp. 1567-1575 ◽  
Author(s):  
Natasha Sanchez Cristal ◽  
Jennifer Staab ◽  
Rachel Chatham ◽  
Sarah Ryan ◽  
Brian Mcnair ◽  
...  
Keyword(s):  
Emergency Department ◽  
Rating Scale ◽  
Pediatric Trauma ◽  
Family Satisfaction ◽  
Pediatric Emergency ◽  
Child Life ◽  
Convenience Sample ◽  
Patient Cooperation ◽  
To Receive ◽  
Pain Rating Scale

This study evaluated the effects of Certified Child Life Specialist (CCLS) intervention on pediatric distress and pain and family satisfaction during routine peripheral intravenous (PIV) line placement in the emergency department (ED). A convenience sample of 78 children (3-13 years) requiring PIV placement for their treatment at a regional level 1 pediatric trauma center ED with 70 000 annual visits were selected to receive either standard nursing care or CCLS intervention for PIV placement. CCLS involvement was associated with fewer negative emotional behaviors as indicated by a lower score on the Children’s Emotional Manifestation Scale (−3.37 ± 1.49, P = .027), a reduction in self-reported pain on the Wong-Baker Faces pain rating scale (−1.107 ± 0.445, P = .017), an increase in parent-reported patient cooperation during PIV placement, and greater satisfaction with the ED visit. This study demonstrates that Child Life can have an impact on important outcomes in the pediatric ED such as distress, pain, and visit satisfaction.

scholarly journals The Relationship between Soccer Club Coaches’ Decision-Making Style, Basic Psychological Needs, and Intention to Continue to Exercise: Based on Amateur Male Soccer Club Members in Korea

2018 ◽  
Vol 7 (10) ◽  
pp. 200 ◽  
Author(s):  
YongKoo Noh ◽  
Kyongmin Lee ◽  
Chul-Ho Bum
Keyword(s):  
Decision Making ◽  
Psychological Needs ◽  
Basic Psychological Needs ◽  
Convenience Sample ◽  
Exercise Participation ◽  
Sports Science ◽  
The People ◽  
Coaching Behavior ◽  
Intention To Continue ◽  
The Relationship

Numerous studies in sports science have investigated the relationships between coaching behavior, basic psychological needs, and intention to continue to exercise in sport participants in order to promote their continued exercise participation. However, little is known about the effect of the coach’s decision-making style on sport participants’ basic psychological needs and intention to continue to exercise. Thus, this study empirically investigated the relationship between these three variables. For this purpose, a survey was given to a convenience sample of 200 members of amateur male soccer clubs in Seoul and Gyeonggi, Korea. The results of multiple regression analysis showed that the type of coach that makes decisions based on a thorough analysis and reasonable evaluation of all possible solutions had a greater effect on the satisfaction of basic psychological needs and a greater effect on intention to continue to exercise in soccer club members than the types of coaches who use other styles of decision making in coaching. In addition, the intention to continue to exercise in soccer club members was higher when they voluntarily participated in soccer activities and when they made a strong emotional bond with the people they were exercising with. The findings of this study may provide the basic data on the coaches’ decision-making style needed to improve sport participants’ internal motivation and to stimulate their intention to continue to exercise.

Psychological Needs of Women Treated with Methadone: Mixed Method Study

2018 ◽  
Vol 37 (3) ◽  
pp. 328-341 ◽  
Author(s):  
Sharareh Rahimi ◽  
Amir Jalali ◽  
Rostam Jalali
Keyword(s):  
Mixed Method ◽  
Psychological Needs ◽  
Mixed Method Study

scholarly journals Using graphic illustrations to uncover how a community of practice can influence the delivery of compassionate healthcare

2018 ◽  
Vol 45 (4) ◽  
pp. 381-387 ◽  
Author(s):  
Trisha Parsons ◽  
Deborah Tregunno ◽  
Mala Joneja ◽  
Nancy Dalgarno ◽  
Leslie Flynn
Keyword(s):  
Community Of Practice ◽  
Personal Growth ◽  
Daily Practice ◽  
Professional Relationships ◽  
Group Discussions ◽  
Cultural Shift ◽  
Professional Educators ◽  
Secondary Sources ◽  
Narrative Design ◽  
Field Notes

Our modern-day frenetic healthcare culture has progressed to a state where healthcare professionals tend to detach themselves from the emotions of their patients/clients, rather than embed compassion into their daily practice. The AMS Phoenix Project: A Call to Caring was implemented with the goal to instil and sustain empathy and compassion in environments where clinicians learn and work. The purpose of this study is to report on how an interprofessional community of practice (CoP) of healthcare educators can contribute to a cultural shift in promoting and delivering compassion in healthcare through health professionals education. Using an imaginative creative autoethnography that adopts a narrative design through graphic illustrations, data were collected from 25 members of the Phoenix@Queen’s CoP during a 1-day retreat. Data collection included a graphic recorder who visually depicted all retreat dialogue, field notes that highlighted emergent themes and artefacts produced during the day. Audio recordings of the discussions were used as secondary sources of data. Using thematic analysis, three themes emerged: the call to caring is a long and winding road with many barriers and rewards; CoP members experienced personal growth in and through the community; and the Phoenix@Queen’s CoP matters in terms of professional relationships, leadership and moving forward a shared agenda about practising compassionate healthcare. This study describes the development of a CoP that moves away from traditional committees and discussions to an experiential creation of connections and shared meaning by its members. By using autoethnography, and by demonstrating how graphic illustration can be an innovative and creative method for recording and interpreting group discussions, we have demonstrated the accelerated development of an authentic CoP. With a richer and more authentic community, the shared goals of healthcare professional educators are more likely to be achieved.

scholarly journals Use and Significance of Nursing Diagnosis in Hospital Emergencies: A Phenomenological Approach

2021 ◽  
Vol 18 (18) ◽  
pp. 9786
Author(s):  
Jose Miguel Cachón-Pérez ◽  
Purificación Gonzalez-Villanueva ◽  
Marta Rodriguez-Garcia ◽  
Oscar Oliva-Fernandez ◽  
Esther Garcia-Garcia ◽  
...  
Keyword(s):  
Emergency Departments ◽  
Phenomenological Study ◽  
Phenomenological Approach ◽  
Hospital Emergency ◽  
Emergency Nurses ◽  
Nursing Diagnosis ◽  
Nursing Organizations ◽  
Field Notes ◽  
Qualitative Phenomenological ◽  
Hospital Emergency Departments

Background: Professional nursing organizations recommend the use of nursing diagnosis to enhance and facilitate the standardization of care and the development of a common language used by nursing practitioners. In the clinical reality of hospital emergency departments, however, its use is controversial. The objectives of the research are (a) to explore the use of nursing diagnosis in hospital emergency departments, and (b) to describe the meaning of nursing diagnosis for hospital emergency nurses. Methods: A qualitative phenomenological study was conducted. A purposeful sampling and snowball technique were used. Data were collected using in-depth interviews, researchers’ field notes, and documental analysis. An inductive analysis based on Giorgi´s proposal was used to identify significant emerging themes from interviews and field notes. Seventeen participants with a mean age of 40 were recruited. Results: Three themes were identified. The results showed how the use of nursing diagnosis in hospital emergency departments depends on nurses to apply a working methodology in their practice, along with other dimensions such as the characteristics of emergency care, the type of health problems, and the complexity of care. Conclusions: The use of standardized language in emergency departments is complex due to the overcrowded nature of care in these settings.

scholarly journals Peran Identifikasi Tokoh Wayang dalam Pembentukan Identitas Diri

2017 ◽  
Vol 44 (2) ◽  
pp. 97
Author(s):  
Subandi
Keyword(s):  
Data Analysis ◽  
Identity Formation ◽  
Human Development ◽  
Group Discussion ◽  
Phenomenological Approach ◽  
Phenomenological Method ◽  
Self Image ◽  
Depth Interview ◽  
Interview Methods ◽  
Qualitative Phenomenological

One of the tasks of human development is to discover its identity. There are many ways a person can find that identity. One of them is through the identification of the idol figure. This study aims to understand the process of identity formation through the identification of shadow puppet figures in the context of Javanese culture. A qualitative phenomenological approach was used to understand the process retrospectively. Three main participants were involved in the study. The process of collecting data was done through in-depth interview methods to both the main participants and their significant others. FGD (focused group discussion) is also conducted to explore participants' understanding of their process of identity formation. Data analysis was done by phenomenological method. This study found three main themes, namely interested in shadow puppet figures, matching self-image with puppet characters, and the use of feeling as a bridge between self and the puppet. This study concluded that shadow puppets can be used as a means to find identity among their fans.

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