Navigating Professional and Personal Knowing Through Reflective Storytelling Amidst Covid-19

The paper offers space for dialogue illustrating reflection as lived, exploring both my personal and professional experiences of grief and loss surrounding the death of my Dad from Covid −19. In my role as a nurse educator, I share understandings of reflection in facilitating learning and person centered practices with students. I illustrate my approach with two stories generating a narrative giving testimony to those who have died and highlighting the ensuing grief for those who have cared for older people during the pandemic. The first reflective story has been shared with students and snapshots of student responses during virtual sessions are incorporated. The second story shifts to a more personal focus reflecting personal knowing. Insights emerge bringing forth personal and professional knowing, about the art and science of holistic nursing. I explore the challenges in separating ourselves from personal knowledge and experience in reflective writing. I invite readers to take time to pause amidst a global healthcare pandemic to consider the potential of reflection to support nurses in recovering from suffering experienced during a pandemic.

Necessidades humanas básicas e sociais na assistência de enfermagem a pessoa atendida em Unidades de Tratamento ao Queimado: um estudo integrativo

Objective: To identify the empirical indicators of basic and social human needs found in nursing care for people treated in Burn Treatment Units. Materials and Method: Descriptive, cross-sectional and exploratory study of the integrative literature review type. After applying inclusion and exclusion criteria, 16 of the 265 articles identified made up the sample. The data collected were inserted in spreadsheets for descriptive statistical analysis and inferences, analyzed using the Microsoft Office Excel 2010 program and the Statistical Package for the Social Sciences (SPSS) version 20.0 software. The distribution of empirical indicators was carried out, which were later discussed based on scientific productions in the area.Results: The search resulted in the identification of 113 empirical indicators, 89 corresponding to psychobiological needs, 21 to psychosocial needs and 03 to psycho-spiritual needs. The needs that most presented empirical indicators were Need for Vascular Regulation (n=18) and Need for Oxygenation (n=16). However, the Need for Emotional Security showed more frequent indicators.Conclusion: The burn, in addition to affecting physical integrity, also affects emotional aspects, contributing to changes in mental integrity. The existence of few studies with the theme highlights the need for scientific production related to the theme, in order to contribute to human and holistic nursing practice. Objetivo: Identificar los indicadores empíricos de las necesidades humanas básicas y sociales que se encuentran en la atención de enfermería a las personas tratadas en las Unidades de Tratamiento de Quemaduras.Materiales y Método: Estudio descriptivo, transversal y exploratorio del tipo revisión integradora de literatura. Se identificaron 265 artículos, seleccionándose, tras el uso de los criterios de inclusión y exclusión, 16 estudios. Los datos recogidos se ingresaron en hojas de trabajo para el análisis estadístico descriptivo y de inferencia, analizándolos utilizando Microsoft Office Excel 2010 y el software Statistical Package for the Social Sciences (SPSS) versión 20.0. La distribución de indicadores empíricos se realizó, los cuales se discutieron basándose en producciones científicas en el área.Resultados: La búsqueda resultó en la identificación de 113 indicadores empíricos en total, 89 correspondientes a necesidades psicobiológicas, 21 a necesidades psicosociales y 03 a necesidades psico-espirituales. Las necesidades que más presentaron indicadores empíricos fueron Necesidad de regulación vascular (n=18) y Necesidad de oxigenación (n=16). Sin embargo, la necesidad de seguridad emocional mostró indicadores más frecuentes.Conclusión: Se encontró que la quemadura, además de afectar la integridad física, también afecta los aspectos emocionales, contribuyendo a los cambios en la integridad mental. La existencia de pocos estudios con el tema resalta la necesidad de producción científica relacionada con el tema, con el fin de contribuir a la práctica de la enfermería humana y holística. Objetivo: Identificar os indicadores empíricos das necessidades humanas básicas e sociais encontrados na assistência de enfermagem à pessoa atendida em Unidades de Tratamento ao Queimado. Materiais e Método: Estudo descritivo, transversal e exploratório do tipo revisão integrativa da literatura. Foram identificados 265 artigos, que após os critérios de inclusão e exclusão, 16 estudos compuseram a amostra. Os dados coletados foram inseridos em planilhas para análises estatísticas descritivas e inferências, analisados utilizando o programa Microsoft Office Excel 2010 e o software Statistical Package for Social Sciences (SPSS) versão 20.0. Foi realizada a distribuição dos indicadores empíricos e, posteriormente, discutidos a partir de produções científicas da área. Resultados: A busca resultou na identificação de 113 indicadores empíricos no total, sendo 89 correspondendo às necessidades psicobiológicas, 21 às necessidades psicossociais e 03, às necessidades psicoespirituais. As necessidades que mais apresentaram indicadores empíricos foram Necessidade de Regulação Vascular (n=18) e Necessidade de Oxigenação (n=16). No entanto, a Necessidade de Segurança Emocional apresentou indicadores mais frequentes. Conclusão: Constatou-se que a queimadura além de afetar a integridade física atinge, também, aspectos emocionais, contribuindo para alterações da sua integridade mental. A existência de poucos estudos com a temática evidencia a necessidade da produção científica relacionada ao tema, a fim de contribuir para a prática humana e holística de enfermagem.

Knowledge of ICU Nurses Regarding the Ongoing Nursing Assessment of ICU Patients in Khartoum City, 2020

Background: An ongoing nursing assessment is the most significant point in the nursing process to be executed in the beginning of every shift which can be accomplished by using different approaches. It needs to be conducted accurately to guide professional nurses’ decision-making ability to further provide holistic nursing care to patients in the intensive care units (ICUs). This study was aimed to assess the ICU nurses’ knowledge regarding ongoing nursing assessment of ICU patients. Methods: This descriptive cross-sectional hospital-based study was conducted in Khartoum city, and included 86 out of the 135 participants working in the critical care units of the main governmental hospitals in Khartoum city. Data were collected using a structured self-administered questionnaire after being tested for validity and then analyzed using mean, standard deviation, and correlation. Data were then presented as frequencies and percentages. Results: The study participants were aged between 20 and 40 years with a female to male ratio of 3:1, and varied levels of experience. Overall, 71.7% of the studied participants scored good on the standardized knowledge classification tool used, with few areas of knowledge gap, impacted by increased experience. Moreover, 36% of the participants used the ABCDE approach for ongoing nursing assessment, followed by the head-to-toe assessment approach (21%). Conclusion: The nurses’ knowledge regarding ongoing nursing assessment was good with a few areas of weakness raising the need for continuous educational and training programs.

Burnout, Self-Efficacy, and Resilience in Haitian Nurses: A Cross-Sectional Study

Purpose of Study: Though nursing burnout is a global problem, research on nurse burnout in Haiti is scarce. In a context of multiple personal, social, and environmental challenges, this study assessed burnout and associated factors among Haitian nurses. Design of Study: A multi-site cross-sectional study. Methods: A survey in French and Haitian Creole was conducted in five Haitian hospitals using forward and back translated scales measuring burnout (emotional exhaustion [EE], depersonalization [DP], personal accomplishment [PA]), self-efficacy, nursing work environment, resilience, and demographics. Findings: Haitian nurses ( N = 179) self-reported moderate EE ( M = 21, SD = 11.18), low DP ( Mdn = 2.0, range = 29), and high personal accomplishment ( Mdn = 41.0, range = 33). General self-efficacy ( M = 32.31, SD = 4.27) and resilience ( M = 26.68, SD = 5.86) were high. Dissatisfaction with salary, autonomy, and staffing were evident. Conclusions: It is noteworthy that burnout was lower than expected given the scarce resource, difficult socio-politico-economic environment. High levels of self-efficacy and resilience likely mitigated a higher level of burnout. Adaptation enables these nurses to manage their critical conditions and practice holistic nursing, which may inspire hope among nurses in similar contexts.

Effect of Systematic Holistic Nursing Combined with the MDT Teaching Method in the Nursing of Neonatal Jaundice and Its Impact on the Recovery of the Newborns’ Physiological Function

The application effect of systematic holistic nursing combined with the multidisciplinary team (MDT) in the nursing of neonatal jaundice was explored. This study was a retrospective control study. 90 cases of neonatal jaundice admitted to our hospital (February 2020–February 2021) were equally split into group P treated with routine nursing and group Q treated with systematic holistic nursing combined with MDT. The application effect of the two nursing programs was compared and analyzed. Groups P and Q showed no statistical difference in general data ( P > 0.05 ). Compared with group P, the jaundice regression time, hospitalization time, time of first defecation, and time of meconium turning yellow of group Q were notably shorter, and the body weight and total treatment efficiency of group Q were notably higher ( P < 0.05 ). From the third day, the daily jaundice indexes between the two groups were different; that is, the indexes of group Q were notably lower compared with group P ( P < 0.05 ). The scores of environmental nursing, special nursing, basic nursing, and service attitude in group Q were notably higher compared with group P ( P < 0.05 ). In the nursing process of neonatal jaundice, the combination of systematic holistic nursing and MDT can effectively shorten the time of first defecation and meconium turning yellow, reduce jaundice indexes, promote the recovery of the physiological function, and improve the clinical efficacy and nursing quality.

Building Culturally Competent Compassion in Nurses Caring for Vulnerable Populations

Objective: To understand the process of building culturally competent compassion in nurses who care for vulnerable populations. Method: This is a qualitative study of a “single case study” type, developed with 18 nurses who worked in an emergency care unit in the city of Belo Horizonte, Brazil, between October 2020 and January 2021. Data collection was performed through individual online or one-to-one interviews, following a semi-structured script. Data were treated following thematic content analysis, proposed by Bardin. All ethical precepts were taken into account. Results: After data analysis, the following categories were created: a) Looking within: the recognition of cultural identity; b) Paths to be taken: from the gap to cultural knowledge; c) Attentive listening as essential nursing care; d) Culturally competent compassion as an infinite opportunity for growth. Final considerations: Culturally competent compassion is a subjective, complex, and essential construct in holistic nursing care. When implemented successfully, we gain a significant improvement in the quality of healthcare provided to patients and their families as well as a decrease in social inequality, and the protection of human rights.

Holistic nursing approach to trauma wound management in a loggerhead sea turtle

Wildlife Vets International provide support to many non-governmental organisations (NGOs) around the world with many species. The requirements for each species and project are different, but they are linked by the need to assess and if possible address all elements that will allow wound healing to occur. Sea turtles are a highly charismatic species and face many threats in the wild. Veterinary care of sea turtles needs to be optimal and carried out in a timely manner. Providing correct husbandry is essential for the healing of all reptile wounds, including sea turtles. It is important to remember we are nursing an intelligent, exothermic, ureotelic species, with a requirement for UV light, which is likely to be experiencing significant stress which we need to try and mitigate. Veterinary nurses are well placed to assist in assessing all these factors, documenting these assessments, creating care plans/bundles and, of course, carrying out the wound management itself. Dealing with the wound healing of wild animals is very challenging and complicated. A dynamic and holistic approach is essential, although sometimes overlooked, and every effort must be made to reduce treatment times. This will both improve welfare while under veterinary care, and will hopefully allow a timely return to the wild. New wound management products are becoming available all the time, and it is important that veterinary professionals are always looking for how they can use these in their wild animal patients, as well as always questioning why they use the materials they use.