scholarly journals Sykepleiere i hjemmebaserte tjenester – hvorfor fortsetter de i sin stilling?

2021 ◽  
Vol 17 (1) ◽  
Author(s):  
Nille Østhus ◽  
Marianne Storm ◽  
Margareth Kristoffersen
Keyword(s):  
Nursing Care ◽  
Home Healthcare ◽  
Current Position ◽  
High Quality ◽  
Work Task ◽  
Individual Interviews ◽  
Qualitative Research Design ◽  
Primary Health ◽  
Healthcare Practice ◽  
Task Variety

Sykepleiere som arbeider i helsetjenester i hjemmet har krav om høy kvalitet på sykepleieutøvelsen. Samtidig har Norge en sykepleiermangel og primærhelsetjenesten utfordringer med å rekruttere og beholde sykepleiere. Studien beskriver og fortolker hva som var viktig for å fortsette i sin stilling som sykepleier i helsetjenester i hjemmet. En kvalitativ design ble benyttet. Deltakerne var seks sykepleiere i alderen 26 til 60 år ansatt i helsetjenester i hjemmet i en distriktskommune. Data ble samlet inn gjennom individuelle intervju. Transkriberte intervju ble analysert ved hjelp av fenomenologisk-hermeneutisk metode. Resultatene er formulert som fire tema: Å være ønsket velkommen hos pasienter; å ha samhold med kollegaer og leder; å ha variasjon i arbeidshverdagen; å ferdes i naturskjønne omgivelser. Studien konkluderer med at det som synes å være viktig for at sykepleiere fortsetter i sin stilling, er å ha en opplevelse av å lykkes. Studien løfter fram at dette synes å være mulig for sykepleierne i helsetjenester i hjemmet.  Det er mulig når sykepleierne inngår i en sammenheng som er meningsfull, begripelig og håndterbar. Fordi sykepleiere har en sentral rolle i helsetjenester i hjemmet, trengs det mer forskning på hvorfor sykepleiere fortsetter i sin stilling.   Abstract High-quality nursing care is a goal and requirement in health services. The Norwegian primary health care is challenged by a shortage of nurses, difficulties with recruiting and retaining nurses. This study aims to describe and interpret important aspects allowing nurses working in home healthcare to remain in their current position. A qualitative research design was used. The setting was one district municipality’s home healthcare. Six nurses aged between 26 and 60 years were recruited through strategic sampling to individual interviews. Data were analyzed using a phenomenological hermeneutic method. Four themes emerged from the analysis: Being welcome at the patients’ home; experiencing community with colleagues and leader; experiencing work task variety; traveling in scenic surroundings. Thus, the significance of having a sense of coherence, comprehensibility, and manageability cannot be too strongly emphasized. The study indicates that remaining in home healthcare practice seems to revolve around achieving a sense of success as a nurse.  

scholarly journals Nurses’ and family caregivers’ perception of dignity in burns patients: a qualitative study

2020 ◽  
Author(s):  
Banafsheh Tehranineshat ◽  
Mahnaz Rakhshan ◽  
Camellia Torabizadeh ◽  
Mohammad Fararouei ◽  
Mark Gillespie
Keyword(s):  
Family Caregivers ◽  
Nursing Care ◽  
Burn Injury ◽  
Burn Patients ◽  
Training Interventions ◽  
Individual Interviews ◽  
Qualitative Research Design ◽  
Client Group ◽  
Values And Beliefs ◽  
Data Saturation

Abstract Background: A focus of nursing care is the preservation of patients' human dignity. The aggressive nature of burn injuries is a threat to the integration of the patient's existential dimensions and dignity, however, previous studies have not examined the experience of dignity about this client group. The present study was aimed to define and explain the concept of dignity for burn patients from the perspective of their caregivers .Methods: This study was a qualitative research design. The data were collected by using semi-structured in-depth individual interviews. Also, data analysis was performed using conventional content analysis. Nurses and family caregivers of the biggest burn injury hospital in southeastern Iran were selected based on purposeful sampling method (n=18) to reach data saturation from October 2017 to August 2018.Results: According to the findings obtained from interviews, three main themes were identified, including the creation of an intimate atmosphere, respect, and comprehensive support.Conclusions: Burn patients need to be provided with care in a cordial and friendly atmosphere facilitated through empathetic caregiver-patient communication, as well as enough time to allow them to express their feelings and concerns. Also, patients' intrinsic values and beliefs and all aspects of existence should be taken into crucial account to preserve the dignity of these individuals. Therefore, the establishment of training interventions based on these indicators may improve the quality of nursing care.

scholarly journals The Dignity of Burn Patients: A Qualitative Descriptive Study of Nurses and Caregivers

2020 ◽  
Author(s):  
Banafsheh Tehranineshat ◽  
Mahnaz Rakhshan ◽  
Camellia Torabizadeh ◽  
Mohammad Fararouei ◽  
Mark Gillespie
Keyword(s):  
Nursing Care ◽  
Burn Patients ◽  
Design Data ◽  
Individual Interviews ◽  
Qualitative Research Design ◽  
Purposeful Sampling ◽  
Values And Beliefs ◽  
Data Saturation ◽  
East Of Iran ◽  
Qualitative Descriptive

Abstract Background: The essence of nursing care is preservation of patients' human dignity. The aggressive nature of severe burn injuries makes it hard to respect burn patient's existential dimensions and dignity. However, not much research has been conducted on respect for the dignity of burn patients.Purpose: The present study aims to outline the concept of maintaining the dignity of burn patients from the perspective of their caregivers. Methods: The study has a descriptive, qualitative research design. Data were collected using semi-structured, in-depth, individual interviews. Data analysis was executed using conventional content analysis. The subjects were nurses and family caregivers from the biggest burns hospital in the south-east of Iran. The participants were selected via purposeful sampling (n=20) until data saturation was reached. The study lasted from October 2017 to August 2018. Results: Three main themes emerged from the information obtained from the interviews: creating a friendly atmosphere, showing respect, and providing comprehensive support.Conclusion: Burn patients need to receive care in a friendly atmosphere where they are looked after by empathetic caregivers who give enough time to them and allow them to express their feelings and concerns. Also, patients' human values and beliefs should be respected and all aspects of their existence should be taken into account for their dignity to be preserved. Workshops designed based on the findings of the present study can help improve the quality of nursing care.

scholarly journals Nurses’ and Family Caregivers’ Perception of Dignity in Burn Patients: a descriptive, qualitative study

2020 ◽  
Author(s):  
Banafsheh Tehranineshat ◽  
Mahnaz Rakhshan ◽  
Camellia Torabizadeh ◽  
Mohammad Fararouei ◽  
Mark Gillespie
Keyword(s):  
Family Caregivers ◽  
Nursing Care ◽  
Burn Patients ◽  
Design Data ◽  
Individual Interviews ◽  
Qualitative Research Design ◽  
Purposeful Sampling ◽  
Values And Beliefs ◽  
Data Saturation ◽  
Descriptive Qualitative

Abstract Background: The essence of nursing care is preservation of patients' human dignity. The aggressive nature of severe burn injuries is a threat to the integration of burn patient's existential dimensions and dignity. However, not much research has been conducted on respect for the dignity of burn patients.Purpose: The present study aims to determine the concept of maintaining the dignity of burn patients from the perspective of their caregivers. Methods: The study has a descriptive, qualitative research design. Data were collected using semi-structured, in-depth, individual interviews. Data analysis was executed using conventional content analysis. The subjects were nurses and family caregivers from the biggest burns hospital in southeastern Iran. The participants were selected via purposeful sampling (n=18) until data saturation was reached. The study lasted from October 2017 to August 2018. Results: Three main themes emerged from the information obtained from the interviews: creating a friendly atmosphere, showing respect, and providing comprehensive support.Conclusion: Burn patients need to receive care in a friendly atmosphere where they are looked after by empathetic caregivers who give enough time to them and allow them to express their feelings and concerns. Also, patients' human values and beliefs should be respected and all aspects of their existence should be taken into account for their dignity to be preserved. Workshops designed based on the findings of the present study can help improve the quality of nursing care.

Learning Conversation and Shared Network Leadership

2010 ◽  
Vol 9 (4) ◽  
pp. 181-194 ◽  
Author(s):  
Jürgen Weibler ◽  
Sigrid Rohn-Endres
Keyword(s):  
Qualitative Research ◽  
Grounded Theory ◽  
Social Network ◽  
Interorganizational Networks ◽  
Original Network ◽  
High Quality ◽  
Qualitative Research Design ◽  
Collective Processes ◽  
Shared Network ◽  
Practical Implications

This paper develops an understanding of how shared leadership emerges in social network interactions. On the basis of a qualitative research design (grounded theory methodology – GTM) our study in two interorganizational networks offers insights into the interplay between structures, individuals, and the collective for the emergence of shared network leadership (SNL). The network-specific Gestalt of SNL appears as a pattern of collective and individual leadership activities unified under the roof of a highly developed learning conversation. More importantly, our findings support the idea that individual network leadership would not emerge without embeddedness in certain high-quality collective processes of relating and dialogue. Both theoretical and practical implications of this original network leadership perspective are discussed.

Supportive supervision: An effective intervention in achieving high quality malaria case management at primary health care level in Jos, Nigeria

2013 ◽  
Vol 12 (4) ◽  
pp. 243 ◽  
Author(s):  
DanjumaAyotunde Bello ◽  
ZuwairaIbrahim Hassan ◽  
TolulopeOlumide Afolaranmi ◽  
YetundeOlubusayo Tagurum ◽  
OluwabunmiOluwayemisi Chirdan ◽  
...  
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Case Management ◽  
Malaria Case ◽  
Effective Intervention ◽  
Supportive Supervision ◽  
Malaria Case Management ◽  
High Quality ◽  
Care Level ◽  
Primary Health

scholarly journals Barriers for the inclusion of sexuality in nursing care for women with gynecological and breast cancer: perspective of professionals

2015 ◽  
Vol 23 (1) ◽  
pp. 82-89 ◽  
Author(s):  
Simone Mara de Araújo Ferreira ◽  
Thais de Oliveira Gozzo ◽  
Marislei Sanches Panobianco ◽  
Manoel Antônio dos Santos ◽  
Ana Maria de Almeida
Keyword(s):  
Breast Cancer ◽  
Nursing Care ◽  
Nursing Assistants ◽  
University Hospital ◽  
Biomedical Model ◽  
Institutional Dynamics ◽  
Individual Interviews ◽  
The Social ◽  
Care Practices ◽  
Two Sectors

AIM: qualitative study, which aimed to identify the barriers that influence nursing care practices related to the sexuality of women with gynecological and breast cancer.METHODS: the study was conducted with 16 professionals of the nursing area (nurses, nursing technicians and nursing assistants) from two sectors of a university hospital situated in the state of São Paulo, Brazil. The data was collected using semi-structured, in-depth individual interviews. All the interviews were recorded and the participants' responses were identified and categorized using Content Analysis.RESULTS: three major themes were identified. These are as follows: 1) barriers related to the biomedical model; 2) barriers related to institutional dynamics and 3) barriers related to the social interpretations of sexuality.CONCLUSIONS: the results of this study showed that the systematized inclusion of this issue in nursing care routines requires changes in the health paradigm and in the work dynamic, as well as reflection on the personal values and social interpretations related to the topic. A major challenge is to divest sexuality of the taboos and prejudices which accompany it, as well as to contribute to the nursing team being more aware of the difficulties faced by women with gynaecological and breast cancer.

scholarly journals Medication and test prescription by nurses: contributions to advanced practice and transformation of care

2018 ◽  
Vol 26 (0) ◽  
Author(s):  
Wezila Gonçalves do Nascimento ◽  
Severina Alice da Costa Uchôa ◽  
Ardigleusa Alves Coêlho ◽  
Francisco de Sales Clementino ◽  
Maria Valéria Beserra Cosme ◽  
...  
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Open Access ◽  
Nursing Care ◽  
Institutional Support ◽  
Advanced Practice ◽  
Corporate Policies ◽  
Primary Health

ABSTRACT Objective: To carry out a documentary study on the rules, guidelines, policies and institutional support for the nurse to prescribe medicines and request tests with a view to the advanced practice in the scope of Primary Health Care. Methods: Documentary research using open-access institutional documents - Federal Nursing Council (COFEN), its regional representations in the respective Brazilian states (COREN) and the Brazilian Nursing Association (ABEN). Results: Most of the news/notices were issued by the Regional Nursing Councils in the different Federative Units. The argumentation regarding the prescription of medicines and request for tests by nurses is based on three categories: Autonomy and competencies for the prescription of medicines and/or request of tests; Corporate policies that undermine the full exercise of nursing; and Transformation of health and nursing care in Primary Health Care. Conclusion: The prescriptive practice by nurses integrates health care and has been defended by the institutions that represent the category. It emerges as an important element of advanced practice and in the transformation of care in the context of health teams.

scholarly journals Integralidade da assistência na visita domiciliar: relato de experiência

2020 ◽  
Vol 10 (32) ◽  
pp. 324-331
Author(s):  
Anna Rebeka Oliveira Ferreira ◽  
Wanderson Rocha Oliveira ◽  
Brenda Melissa Barros Mota dos Santos ◽  
Claudia Regina Marchiori Antunes Araújo
Keyword(s):  
Nursing Care ◽  
Home Visit ◽  
Nursing Process ◽  
Health Unit ◽  
Unified Health System ◽  
Primary Health ◽  
History Of ◽  
Nursing Diagnoses ◽  
Care Nursing

Este relato possui como objetivo realizar a elaboração e aplicação de um instrumento para concretização do Processo de Enfermagem durante as visitas domiciliares. O relato foi realizado em uma Unidade Básica de Saúde de Maringá. Primeiramente foi realizado um aprofundamento teórico e observação da realidade para a construção de roteiros com histórico de enfermagem, diagnósticos e intervenções de acordo com a Classificação Internacional de Práticas em Saúde Coletiva (CIPESC), articulada à Sistematização da Assistência de Enfermagem específica para cada fase do ciclo da vida, para posterior aplicação e avaliação. O instrumento possibilitou a efetivação do princípio da integralidade do Sistema Único de Saúde por parte dos discentes e enfermeiros, o que facilitou a identificação das necessidades do paciente e família de uma forma holística, e contribuiu para uma maior autonomia do enfermeiro durante o processo do cuidar.Descritores: Visita Domiciliar, Educação em Saúde, Atenção Primaria a Saúde, Processo de Enfermagem. Integrality of assistance in home visit: experience reportAbstract: This report aims to carry out the elaboration and application of an instrument for  implementation of the Nursing Process during home visits. This report was carried out in a Basic Health Unit at Maringá. First of all, we carried out a theoretical deepening and observation of reality, for the construction of scripts with a history of nursing, diagnoses and interventions according to the International Classification of Public Health Practices (CIPESC) linked to the Systematization of Nursing Care specific to each phase of the life cycle, and later, application and evaluation. The instrument enabled the implementation of the principle of integrality of the Unified Health System by students and nurses, making easier the identification of the needs of patient and family in a holistic way and adding to the greater autonomy of nurses during the care process.Descriptors: Home Visit, Health Education, Primary Health Care, Nursing Process. Integralidad de la asistencia durante las visitas domiciliares: informe de experienciaResumen: Este informe tiene como objetivo llevar a cabo la elaboración y aplicación de un instrumento para implementación del Proceso de Enfermería durante las visitas domiciliarias. Este informe se realizó en una Unidad Básica de Salud en Maringá, en primer realizamos una profundización teórica y observación de la realidad, para la construcción de guiones con antecedentes de enfermería, diagnósticos e intervenciones según la Clasificación Internacional de Prácticas en Salud Colectiva (CIPESC), vinculado a la Sistematización de la Asistencia de Enfermería, específica para cada fase del ciclo de vida, para su posterior aplicación y evaluación. El instrumento permitió la aplicación del principio de integración del Sistema Único de Salud por parte de estudiantes y enfermeros, facilitando la identificación de las necesidades del paciente y la familia de manera integral y contribuyendo a una mayor autonomía de las enfermeras durante el proceso de atención.Descriptores: Visita Domiciliaria, Educación Sanitária, Atención Primaria de Salud, Proceso de Enfermería.

scholarly journals SATISFACTION OF USERS OF PRIMARY HEALTH CARE WITH NURSING CARE - SAMPLE OF THE CENTRAL REGION OF PORTUGAL

2016 ◽  
Vol 1 (2) ◽  
pp. 339
Author(s):  
Cláudia Chaves ◽  
João Duarte ◽  
Odete Amaral ◽  
Emília Coutinho ◽  
Paula Nelas
Keyword(s):  
Health Care ◽  
Patient Satisfaction ◽  
Primary Health Care ◽  
Nursing Care ◽  
Central Region ◽  
User Satisfaction ◽  
Service Providers ◽  
Cronbach’S Alpha ◽  
Cronbach's Alpha ◽  
Primary Health

Abstract.Introduction: Patient satisfaction is an essential indicator for assessment of the quality of care and there is evidence of its correlation with health outcomes. Satisfaction with health care is a multidimensional concept which considers aspects such as access, organization and patient-professional interactions. We believe that the nursing care, in particular, are critical in the health/disease process.Objectives: Validate a scale to assess the satisfaction of users with regard to nursing care, adapted from EUROPEP instrument and assess the satisfaction of users of the primary health care of the central region of Portugal.Methods: Cross-sectional study with a sample of 827 adult users (female 64.4%) with a mean age of 50,08±18,58 years. Data were collected through a questionnaire consisting of socio-demographic variables, the instrument EUROPEP (Ferreira, 1995) to assess satisfaction with primary health care and to assess satisfaction specifically with the nursing team we have created issues grouped in the help relationship, interpersonal and instrumental dimension. Internal consistency, reproducibility and content analysis were evaluated using the SPSS 23.0; considering the consistency acceptable to an α of Cronbach’s alpha > 0.70. The coefficient for each item is presented with a confidence interval of 95%.Results: In all dimensions of EUROPEP questionnaire, the highest percentage of satisfaction with the care was between "good" and "very good". The dimensions created to evaluate specifically the nursing care showed a Cronbach's alpha coefficient of α total of 0.972.Conclusions: These results suggest that the dimensions created to evaluate nursing care will be useful for research on the Portuguese population. User satisfaction is crucial to the quality and efficiency of care, requiring the commitment of all service providers on implementation of systematic management practices leading to satisfaction, giving particular attention to the continuous improvement of organizational processes.Keywords: Patient satisfaction; primary health care; nursing care, adult, PortugalResumo.SATISFAÇÃO DOS UTENTES DOS CUIDADOS DE SAÚDE PRIMÁRIOS COM OS CUIDADOS DE ENFERMAGEM – AMOSTRA DA REGIÃO CENTRO DE PORTUGALIntrodução: A satisfação dos doentes constitui um indicador indispensável para a avaliação da qualidade dos cuidados e há evidência da sua correlação com os resultados em saúde. A satisfação com os cuidados de saúde é um conceito multidimensional que considera aspetos como acesso, organização e interação doente - profissional. Consideramos que os cuidados de enfermagem, em particular, são fundamentais no processo saúde/doença.Objetivos: Validar uma escala para avaliar a satisfação dos utentes face aos cuidados de enfermagem, adaptado do instrumento EUROPEP e avaliar a satisfação dos utentes dos cuidados de saúde primários da região centro de Portugal.Material e métodos: Estudo transversal, com uma amostra de 827 utentes adultos (maioria do sexo feminino 64,4%) com uma média de idade de 50,08±18,58 anos. Os dados foram recolhidos através de um questionário, constituído por variáveis sociodemográficas, o instrumento EUROPEP (Ferreira, 1995) para avaliar a satisfação com os cuidados de saúde primários e para avaliar a satisfação especificamente com a equipa de enfermagem elaboramos questões adaptadas do instrumento EUROPEP e agrupadas nas dimensões relação de ajuda, dimensão interpessoal e instrumental. A consistência interna, reprodutibilidade e análise de conteúdo foram avaliados com recurso ao SPSS 23.0; considerando a consistência aceitável para um de Cronbach > 0,70. O coeficiente para cada item é apresentado com um intervalo de confiança de 95%.Resultados: Em todas as dimensões do questionário EUROPEP, a maior percentagem de satisfação com os cuidados situou-se entre “boa” e “muito boa”. As dimensões criadas para avaliar especificamente os cuidados de enfermagem apresentaram um coeficiente de α de Cronbach total de 0,972.Conclusões: Estes resultados sugerem que as dimensões criadas para avaliar os cuidados de enfermagem serão úteis para a investigação na população Portuguesa. A satisfação do utente é decisiva para a qualidade e eficiência dos cuidados prestados, sendo necessário o compromisso de todos os prestadores na implementação de práticas sistemáticas de gestão que conduzam à satisfação, dando particular atenção à melhoria contínua dos processos organizacionais.Palavras-chave: Satisfação dos Utentes; cuidados de saúde primários, cuidados de enfermagem, adulto, Portugal

scholarly journals Field-based Learning in Higher Education

2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Heather N. Fedesco ◽  
Drew Cavin ◽  
Regina Henares
Keyword(s):  
Social Sciences ◽  
Higher Education ◽  
Qualitative Research ◽  
Natural Sciences ◽  
Traditional Classroom ◽  
Academic Literature ◽  
Individual Interviews ◽  
Social Sciences And Humanities ◽  
Qualitative Research Design ◽  
Education Courses

Field-based learning in higher education is lacking both in practice at colleges and in research within the academic literature. This study aims to address these deficits by exploring the benefits of, and suggesting strategies for, executing field study in higher education across a variety of courses. We report the results of a qualitative research design that included the observation of five courses within the natural sciences, social sciences, and humanities. Approximately eight students per observed course were interviewed three times during their course to assess perceptions of the class, their peers and instructor, the field experiences, and their motivation throughout the course. In total, 130 individual interviews were conducted with 45 students. Results revealed that field-based learning enhances the degree of relatedness students feel with their classmates and instructors, they have a greater degree of intrinsic motivation in the course, and these experiences facilitate learning in ways that may not be replicated in the traditional classroom. In addition, we created a typology of field-based learning, which includes eight different trips that could be employed in higher education courses. We also identified general strategies to improve the execution of these trips.

Sign in / Sign up

Export Citation Format

Share Document