Nurse Talk: Features of Effective Verbal Communication Used by Expert District Nurses

<p><b>This thesis represents an appreciative enquiry to identify features of effective verbal communication between nurses and patients.</b></p> <p>Using a method developed by the Language in the Workplace Project (Stubbe 1998) two nurse participants recorded a small sample of their conversations with patients as they occurred naturally in clinical practice. These six conversations constitute the main body of raw data for the study. The data was analysed using a combination of discourse and ethnographic analysis.</p> <p>Experience in nursing, particularly insider knowledge of the context of district nursing, helped me to uncover the richness of meaning in the conversations. The subtle interconnections and nuances could easily have been missed by an outside observer.</p> <p>The study has shown that in their interactions with patients, expert nurses follow a pattern in terms of the structure and content of the conversations and it is possible to identify specific features of effective nurse-patient communication within these conversations. The most significant of these are the repertoire of linguistic skills available to nurses, the importance of small talk and the attention paid by nurses to building a working relationship with patients, in part, through conversation.</p> <p>The findings have implications for nursing education and professional development.</p>

Nurse Talk: Features of Effective Verbal Communication Used by Expert District Nurses

<p><b>This thesis represents an appreciative enquiry to identify features of effective verbal communication between nurses and patients.</b></p> <p>Using a method developed by the Language in the Workplace Project (Stubbe 1998) two nurse participants recorded a small sample of their conversations with patients as they occurred naturally in clinical practice. These six conversations constitute the main body of raw data for the study. The data was analysed using a combination of discourse and ethnographic analysis.</p> <p>Experience in nursing, particularly insider knowledge of the context of district nursing, helped me to uncover the richness of meaning in the conversations. The subtle interconnections and nuances could easily have been missed by an outside observer.</p> <p>The study has shown that in their interactions with patients, expert nurses follow a pattern in terms of the structure and content of the conversations and it is possible to identify specific features of effective nurse-patient communication within these conversations. The most significant of these are the repertoire of linguistic skills available to nurses, the importance of small talk and the attention paid by nurses to building a working relationship with patients, in part, through conversation.</p> <p>The findings have implications for nursing education and professional development.</p>

Transcultural Nurse Views on Culture-Sensitive/Patient-Centered Assessment and Care Planning: A Descriptive Study

Introduction: Culture-sensitive (CS) and patient-centered (PC) care are considered essential to achieve high-quality equitable care. The purpose of this study was to determine how expert nurses incorporate CS/PC care into their assessment and care planning practices, especially for culturally diverse and marginalized patients. Methodology: Using a qualitative, descriptive design, we conducted a focus group at the October 2019 Transcultural Nursing Society Conference. Participants ( n = 9) discussed how they instilled cultural sensitivity and patient-centeredness into their assessment and care planning skills. Results: Participants revealed attitudes, knowledge, and skills associated with CS/PC assessment and care planning. They also identified specific strategies for translating CS/PC theory into assessment and care planning practices. Discussion: Three principles and many pragmatic strategies for incorporating CS/PC care into daily practice emerged from the data. Nurses may find these principles and strategies helpful in integrating CS/PC care into their daily care of patients in busy clinical settings.

A Comparison of Pain Scale on Neonates in a Top Refferal Hospital in Indonesia

Background: Pain assessment scale in neonates is the cornerstones of pain management so that the impact of pain can be prevented to maximize neonatal growth and development.Purpose: This study aimed to identify the most appropriate pain assessment scale used for neonates in Indonesia.Methods: A cross sectional study design was used in 30 neonates hospitalized using Neonatal Infant Pain Scale (NIPS), Neonatal infant Acute Pain Assessment Scale (NIAPAS) and Pain Assessment Tool (PAT). Pain assessment was performed by nurses (n=30) and expert nurses (n=5) participated in the validation of scales. Statistical analysis using validity (content, construct and concurrent validity) and reliability (inter-rater reliability and internal consistency) test.Results: NIPS instrument have excellent validity, reliability, and feasibility value compared with NIAPAS and PAT.Conclusion: NIPS was shown a valid, reliable, and practical scale for assessing pain in neonates. It allows nurses to identifying pain and help to provide of appropriate pain management

Expert nurses’ coping strategies in ethically challenging situations: a qualitative study

Background Nurses frequently encounter ethically challenging situations in everyday practice. In these situations, nurses often know an appropriate course of action to take but are unable to do so. Many studies have examined the ethically challenging situations faced by nurses, but how nurses cope with these situations is not well understood. Therefore, this study aims to explore the coping strategies used or adopted in ethically challenging situations by expert nurses in South Korea. Methods Participants were recruited via purposive sampling. Small group interviews were conducted with 26 expert registered nurses in a general hospital in South Korea. The data were analyzed using Giorgi’s descriptive phenomenological method. Results The essential theme of nurses’ experience of coping with ethically challenging situations was “being faithful to the nature of caring.” This essential theme comprised three themes: self-monitoring of ethical insensitivity, maintaining honesty, and actively acting as an advocate. Conclusions The findings of this study suggest that the coping strategies of expert nurses are mostly consistent with the attributes of ethical competence as previously defined in healthcare, and expert nurses can address ethically challenging situations in an effective and ethical manner by faithfully adhering to the spirit of caring. System-wide early counseling and interventions should be considered for nurses who have experienced ethical difficulties.

Efficacy Evaluation of Amniotic Membrane in the Treatment of Neonatal Extravasation: a Pilot Study

Intravenous treatment exposes the neonates to extravasation due to fragile and small veins and the long period required for treatment. Extravasation is leakage of fluids, nutrition, or drugs from a peripheral intravenous which could cause tissue damage. The injured complications range from local irritation to skin necrosis and severe scar formation after the healing. Several methods have been used to control the complications of extravasation. We used an Amniotic membrane, a biological dressing, for healing the wounds. Our object in this study is to examine whether the amniotic membrane can induce healing wounds following extravasations.This prospective 13-week single-arm clinical trial study was performed on five neonates from February 2020 till May 2021 in the children's medical center of Tehran University. Neonates with any gestational age and diagnosis of the wound due to extravasation entered our study. Neonates with skin disorders and wound stages of 1 and 2 were excluded from the study. Established wounds without necrosis and infection are treated with an amniotic membrane. The amniotic membrane covers the wound, and after 48 hours, the wound is rechecked. The sequence of replacing or removing the bandages is five to seven days until healing occurs.An amniotic membrane was applied to the wounds and the average time for healing was 2.5 weeks. The average gestational age was 33.6 weeks. We did not report any adverse reaction, and healing was without scar formation.Implementing an amniotic membrane for treating wounds due to Extravasation can be a new approach. This treatment route decreases graft requirement and can be implemented by expert nurses, so in remote NICUs, its usage is easy.

Evaluation efficacy of amniotic membrane in the treatment of neonatal Extravasation: a pilot study

Introduction: Intravenous treatment exposes the neonates to Extravasation due to Fragile and small veins and the long period required for treatment. Extravasation is leakage of fluids, nutrition, or drugs from a peripheral intravenous which could cause tissue damage. Based on extravasated material, volume, and patient-related factors, the injured complications range from local irritation to skin necrosis and severe scar formation after the healing. Several methods have been used to control the complications of Extravasation. We used an Amniotic membrane, a biological dressing, for healing the wounds. Our object in this study is to examine whether can the amniotic membrane induce healing wounds following extravasations. Methods: This prospective 13-week single-arm clinical trial study was performed on five neonates from February 2020 till May 2021 in the children's medical center of Tehran University. Neonates with any gestational age and with the diagnosis of the wound due to Extravasation entered our study. Neonates with skin disorders and wound stages of 1 and 2 were excluded from the study. Established Wounds without necrosis and infection are treated with an amniotic membrane. The amniotic membrane covers the wound, and After 48 hours, the wound is rechecked. Five days after the first bandage, the amniotic membrane is replaced with a new one, and the sequence of removing the bandages is five to seven days until healing occurs. Results: An amniotic membrane was applied to the wounds and the average time for healing was 2.5 weeks. The average gestational age was 33.6 weeks. We did not report any adverse reaction, and healing was without scar formation. Discussion/Conclusion: Implementing an amniotic membrane for treating wounds due to Extravasation can be a new approach. This treatment route decreases graft requirement and can be implemented by expert nurses, so in remote NICUs, its usage is easy.

Perceptions About the Nursing Assistant Role in Ganjavian Hospital of Dezful: A Conventional Content Analysis

Background: Using different skill levels for patient care not only helps better and more fully meet patients' needs but also reduces the need for expert nurses. Objectives: This study was conducted to determine the perceptions of nurses and nursing assistants about the nursing assistant role. Methods: This study was conducted based on a conventional content analysis approach. The data was collected at the Ganjavian hospital in Dezful, Iran. Ten nurses and eleven nursing assistants were selected by purposeful sampling, and data were collected using unstructured interviews. The recorded interviews were eventually transcribed verbatim, and meaning units were then identified. Coding was then performed by compressing the meaning units and converting them into codes. The codes were summarized and classified to form categories. At last, the categories formed themes based on their similarities and differences. Results: Displeasure of the position was the main category of the study, which consisted of the two main subcategories of “having a small role in assisting nurses” and “reluctance to work”. Conclusions: The results of the study showed that nursing assistants have problems performing their roles, which need to be addressed by nursing managers.

Development of a professional practice competency for undergraduate nursing students: A mixed-method study

Nursing professionalism relates to the knowledge, skills, conduct, behaviour and attitudes of registered nurses. Difficulties related to student assessment of professionalism have been anecdotally described as a disparity between the meaning of the term ‘professionalism’ to nurses and its application and measurement in clinical practice. The aim of this study was to develop a professional practice competency for undergraduate nurses on clinical placement. An exploratory sequential mixed-methods approach with a two-phase design was used to develop the competency. Phase one, the Delphi method with 16 expert nurses, was used to develop the competency. This involved the thematic analysis of key statements over four rounds, five key themes were identified (attitudes, communication, knowledge, standards, relationships) that formed the framework and 33 individual competency statements. This was followed by phase 2, content validity, using the Table of Specification with 58 clinical facilitators. The findings confirmed the statements (80% consensus) deemed important to assess the essential construct of nursing professional practice. It is envisaged that the professional practice competency will assist student insight into their professional role and subsequently allow adjustment and achievement of professional practice competency.