International Journal of Nursing Studies Advances最新文献

{"title":"Demoralization: A concept analysis through a scoping review methodology","authors":"Rongyu Hua,&nbsp;Patraporn Bhatarasakoon","doi":"10.1016/j.ijnsa.2024.100272","DOIUrl":"10.1016/j.ijnsa.2024.100272","url":null,"abstract":"<div><h3>Background</h3><div>Demoralization is a complex construct comprising of several clinical phenomena that has gained increasing interest in clinical practice and research; however, the concept needs to be sufficiently specified and clearly described. A concept analysis of demoralization is necessary to integrate previous research findings and establish the scientific foundation for future intervention research.</div></div><div><h3>Aim</h3><div>To analyze the concept of demoralization in terms of its antecedents, attributes, consequences, and empirical referents in health.</div></div><div><h3>Methods</h3><div>A concept analysis was performed using the Joanna Briggs Institute guidelines scoping review method and mapping information through the Walker and Avant concept analysis framework. Electronic databases, including PubMed, The Cochrane Library, Embase, PsycINFO, and Web of Science, were searched until September 15, 2024. The grey literature and other minor non-indexed publications were also reviewed.</div></div><div><h3>Results</h3><div>A total of 106 articles were included in the review. Antecedents included medical illness, symptom burden, low social support and coping difficulties. Attributes were identified as follows: dysphoria, disheartenment, helplessness, hopelessness, loss of meaning and purpose, and sense of failure. Consequences included poor quality of life, depression, anxiety, suicidal ideation and desire to die. The concept of demoralization was illustrated through a model case, one exhibiting borderline criterion and another displaying challenge.</div></div><div><h3>Conclusion</h3><div>This scoping review clarifies the clinical definition of demoralization, distinguishing it from common language usage and from other emotional symptoms frequently experienced by patients.</div></div><div><h3>Implications for Practice</h3><div>The identified attributes of demoralization play vital roles in health assessments and should guide nurses in providing appropriate patient care early on. Interventions should address the concept's antecedents and consequences.</div></div>","PeriodicalId":34476,"journal":{"name":"International Journal of Nursing Studies Advances","volume":"8 ","pages":"Article 100272"},"PeriodicalIF":3.1,"publicationDate":"2024-11-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11683301/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142907624","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Barriers and facilitators to the implementation of guidelines for venous thromboembolism prevention and management: A mixed-methods systematic review","authors":"Mengbo Han ,&nbsp;Jingying Huang ,&nbsp;Jin Yang ,&nbsp;Jiaojiao Chen ,&nbsp;Haiou Qi","doi":"10.1016/j.ijnsa.2024.100273","DOIUrl":"10.1016/j.ijnsa.2024.100273","url":null,"abstract":"&lt;div&gt;&lt;h3&gt;Background&lt;/h3&gt;&lt;div&gt;Evidence-based venous thromboembolism prevention and management is a priority for global health services. Low adoption of venous thromboembolism guidelines can result in compromised patient outcomes. Understanding clinicians' and patients' perceptions of barriers to and facilitators for guideline implementation and mapping identified barriers and facilitators to the Consolidated Framework for Implementation Research may inform theoretical interventions to improve guideline adoption rates.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Objective&lt;/h3&gt;&lt;div&gt;To synthesize quantitative and qualitative evidence on both 1) perceptions and experiences of hospital clinicians and patients regarding venous thromboembolism practices and 2) barriers to and facilitators for guideline implementation.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Data source&lt;/h3&gt;&lt;div&gt;English-language studies from MEDLINE, EMBASE, CINAHL, PsycINFO, and Cochrane published between 2012 and 2023.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Methods&lt;/h3&gt;&lt;div&gt;The included studies primarily focused on two aspects: firstly, elucidating the perceptions and experiences of healthcare providers and patients concerning venous thromboembolism management practices, and secondly, identifying the barriers and facilitators that influence the implementation of venous thromboembolism guidelines. The Mixed Methods Appraisal Tool was used for critical appraisal. Quantitative data were transformed into qualitized data and then thematically synthesized with qualitative data to compare the perspectives of clinicians and patients. Barriers and facilitators related to each topic were mapped to the Consolidated Framework for Implementation Research, and the barriers were entered into its implementation strategy matching tool to obtain implementation strategies.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Results&lt;/h3&gt;&lt;div&gt;Of 8262 studies of varying quality, 26 (20 quantitative, five qualitative, and one mixed-methods) met the inclusion criteria. Four themes represented factors influencing guideline implementation: 1) healthcare-led multidisciplinary prevention and management, 2) feasibility of guideline implementation, 3) patient involvement in prevention and management, and 4) government and hospital environments and related systems. The majority of barriers identified by healthcare providers were related to the second and fourth themes, while for patients, there were multiple barriers under the third theme. Barriers were mainly mapped into four domains: intervention characteristics, outer setting, inner setting, and characteristics of individuals. Most facilitators mentioned by healthcare providers and patients were related to themes 1, 3, and 4 and mapped to three domains: outer setting, inner setting, and characteristics of individuals. Seven optimal implementation strategies were obtained through the Consolidated Framework for Implementation Research-Expert Recommendations for Implementing Change matching tool.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Conclusions&lt;/h3&gt;&lt;div&gt;We highlighted the most","PeriodicalId":34476,"journal":{"name":"International Journal of Nursing Studies Advances","volume":"8 ","pages":"Article 100273"},"PeriodicalIF":3.1,"publicationDate":"2024-11-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11664414/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142883134","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The scope of emergency nursing viewed through the lens of complex adaptive systems: A discussion paper","authors":"Katarina E Göransson ,&nbsp;Jonathan Drennan ,&nbsp;Hanne Mainz ,&nbsp;Nanna Fauerholdt Skov ,&nbsp;Maria Amritzer ,&nbsp;Lena M Berg ,&nbsp;Karen V Andersen ,&nbsp;Marianne Lisby","doi":"10.1016/j.ijnsa.2024.100270","DOIUrl":"10.1016/j.ijnsa.2024.100270","url":null,"abstract":"<div><div>Across the world, emergency department nurses care for patients around the clock all year long. They perform tasks ranging from direct nursing care to managing patient flow, working in an environment characterised by interdependencies among numerous actors. The complex context in which emergency nurses operate has not been thoroughly described or discussed, indicating a knowledge gap. Hence, the aim of this discussion paper is to describe and discuss nursing in the emergency department and the connection between patient flow and nursing care, drawing on the concept of complex adaptive systems.</div><div>The acts of direct patient care and patient flow, when viewed through the lens of complex adaptive systems, are central components of emergency nursing. Through a stepwise description of these two perspectives, based on literature and clinical experience from European countries, the paper illustrates the complexity of the emergency nursing context in a novel manner. We argue that direct patient care and patient flow, combined as patient flow management, constitute essential parts of the core of emergency department nursing. Further studies are needed to challenge or confirm this assertion.</div></div>","PeriodicalId":34476,"journal":{"name":"International Journal of Nursing Studies Advances","volume":"8 ","pages":"Article 100270"},"PeriodicalIF":3.1,"publicationDate":"2024-11-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11754812/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143029702","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Factors associated with cultural sensitivity and global nursing education among nurse educators: A cross-sectional study","authors":"Akiko Kondo ,&nbsp;Congcong Wang ,&nbsp;Kazuko Naruse ,&nbsp;Kosuke Niitsu ,&nbsp;Dingyi Long","doi":"10.1016/j.ijnsa.2024.100271","DOIUrl":"10.1016/j.ijnsa.2024.100271","url":null,"abstract":"<div><h3>Background</h3><div>Nurse educators must be culturally sensitive to teach cultural care to nursing students effectively.</div></div><div><h3>Objective</h3><div>To explore the factors associated with cultural sensitivity and global nursing education among nurse educators.</div></div><div><h3>Methods</h3><div>This was a cross-sectional exploratory study. Participants were nurse educators with registered nurse licenses in Japan whose email addresses were available on their university homepage and who agreed to participate in the survey (<em>N</em> = 850). Data were collected between October and November 2023, using Google Forms. The survey included demographics, language, cultural interaction, intercultural sensitivity, and 11 categories of global nursing education. Hierarchical logistic regression and Structural Equation Modeling (SEM) were used in the analyses.</div></div><div><h3>Results</h3><div>Most of the participants were women (84.5 %). Over half of them had a PhD (60.8 %), but 6.4 % had obtained degrees in foreign countries. In the final logistic regression model, frequent participation in cross-cultural interactions and higher intercultural sensitivity were associated with global nursing teaching. In SEM, among participants who taught global nursing (<em>n</em> = 328), being a professor, living in a foreign country for at least six months, and having higher intercultural sensitivity were directly related to teaching four or more global nursing categories. Levels of non-native language proficiency and the number of friends from different cultures were positively associated with intercultural sensitivity.</div></div><div><h3>Conclusions</h3><div>Higher intercultural sensitivity is necessary for teaching global nursing. Intercultural sensitivity can be increased by living and working in foreign countries and by maintaining levels of non-native language and cross-cultural interactions.</div></div>","PeriodicalId":34476,"journal":{"name":"International Journal of Nursing Studies Advances","volume":"8 ","pages":"Article 100271"},"PeriodicalIF":3.1,"publicationDate":"2024-11-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11732694/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143012994","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Nurse-surgeons in the Australian public health system: A descriptive quantitative survey","authors":"Tenber Grota ,&nbsp;Adam Burston ,&nbsp;Vasiliki Betihavas ,&nbsp;Elisabeth Jacob","doi":"10.1016/j.ijnsa.2024.100268","DOIUrl":"10.1016/j.ijnsa.2024.100268","url":null,"abstract":"<div><h3>Background</h3><div>With over five billion people worldwide lacking access to surgery, innovative solutions are vital to address the global surgical crisis. Nurse-surgeons present a promising innovation. Considering their contribution worldwide and impact on surgical care in Australia, an exploration of these advanced practice nurses is timely.</div></div><div><h3>Objective</h3><div>To investigate the roles, training, education, and perceptions of career prospects and support received by practicing nurse-surgeons in the Australian public health system.</div></div><div><h3>Design</h3><div>Non-experimental descriptive national survey</div></div><div><h3>Methods</h3><div>The target population was nurse-surgeons practicing within the Australian public health system. The survey questionnaire comprised of four sections containing questions on nurse-surgeon demographics, roles, training, and perceptions of career prospects and support received. Data collection was conducted through emailing of public hospitals, crowdsourcing, and snowballing. Descriptive analysis was used to report the findings.</div></div><div><h3>Results</h3><div>Twenty-eight nurse-surgeons participated in the study, 22 females and six males. Most commonly, participants (<em>n</em> = 10) held master's degrees and trained to become nurse-surgeons for an average of 2·27 years (95 % CI [1·47,3·07]). Training programs varied but were all surgical specialty-specific, and usually included a practical component, theoretical component, and competency assessment prior to independent practice. Participants rated employment prospects for nurse-surgeons as poor to average due to limited work opportunities, politics, and strong pushbacks from Australian medical societies. The support received from nurses, surgeons and management was rated by participants as good providing reasons such as supportiveness, value recognition, jealousy, and resentment. The participants were very likely (95 % CI [7.436 – 9.364] to continue practicing due to positive job satisfaction but recommended the standardising of training and practice to ensure role futureproofing.</div></div><div><h3>Conclusions</h3><div>Nurse-surgeons have been practicing in Australia for decades, yet no standard training and credentialing pathway exist for them. This study identified the various roles, non-standard training, and perceptions of nurse-surgeons in the Australian public health system. The findings of this study will have an impact on policymakers and stakeholders to develop standard national credentialing pathway for nurse-surgeons in Australia to enhance clinical practices and ensure a consistent framework for recognition and development of these advanced practice nurses.</div></div>","PeriodicalId":34476,"journal":{"name":"International Journal of Nursing Studies Advances","volume":"7 ","pages":"Article 100268"},"PeriodicalIF":3.1,"publicationDate":"2024-11-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142698540","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Navigating uncertainties for promoting nurse-led changes in work environments: A participatory action research","authors":"Julia van Kraaij ,&nbsp;Lotte Spruit-Bentvelzen ,&nbsp;Famke van Lieshout ,&nbsp;Hester Vermeulen ,&nbsp;Catharina van Oostveen ,&nbsp;RN2Blend consortium","doi":"10.1016/j.ijnsa.2024.100265","DOIUrl":"10.1016/j.ijnsa.2024.100265","url":null,"abstract":"<div><h3>Background</h3><div>The nursing work environment is crucial for nurses' well-being and patients’ quality of care. Despite effective interventions to improve the nursing work environment, understanding the most effective types and integration mechanisms for nurses remain challenging. As nursing practices evolve amid complex care demands and staff shortages, understanding nurses’ challenges, support systems, and adoption mechanisms is vital to optimize the work environment and to enhance quality of care, job satisfaction, and staff retention.</div></div><div><h3>Purpose</h3><div>To explore strategies for promoting and supporting nurse-led changes to improving their work environment.</div></div><div><h3>Methods</h3><div>The study employed a participatory action research design on three nursing wards in a Dutch academic hospital. Action research teams with diverse ward nurses were established on each ward. The research took place between September 2022 and October 2023. Data were collected during observations, PhotoVoice workshops, and individual interviews. Data were analyzed using the rigorous and accelerated data reduction technique.</div></div><div><h3>Results</h3><div>Nurses and managers showed patterns of behavior that either hindered or facilitated changes, leading to the emergence of three themes: strengthening relationships, taking the lead, and being up to the task. These themes highlight the importance of fostering collaboration, encouraging proactive attitudes, and building capabilities to address challenges and drive positive changes in their work environment. Feelings of uncertainty emerged in all themes, and this uncertainty hindered nurses from taking responsibility for facilitating change.</div></div><div><h3>Conclusions</h3><div>This study demonstrated different mechanisms that either facilitate or hinder nurse-led changes and how feelings of uncertainty play a role. Nurses emphasized the importance of collaboration and proactive attitudes but faced challenges in recognizing responsibility and their perceived competencies. Strengthening nurses' resilience to and management of uncertainty is essential. Healthcare organizations should help nurses navigate uncertainty to foster positive changes.</div></div><div><h3>Tweetable abstract</h3><div>Collaboration, proactivity, and competency are key in nurse-led changes. Strengthening nurses' resilience and uncertainty management is crucial.</div></div>","PeriodicalId":34476,"journal":{"name":"International Journal of Nursing Studies Advances","volume":"7 ","pages":"Article 100265"},"PeriodicalIF":3.1,"publicationDate":"2024-11-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142698609","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Impact of nurse education prior to and during COVID-19 on nursing students’ preparedness for clinical placement: A qualitative study","authors":"Jo Brett ,&nbsp;Zoe Davey ,&nbsp;Cate Wood ,&nbsp;Paul Dawson ,&nbsp;Kinga Papiez ,&nbsp;Daniel Kelly ,&nbsp;Tessa Watts ,&nbsp;Anne Marie Rafferty ,&nbsp;Cathy Henshall ,&nbsp;Eila Watson ,&nbsp;Dan Butcher ,&nbsp;Sarah Bekaert ,&nbsp;Pras Ramluggun ,&nbsp;Helen Aveyard ,&nbsp;Clair Merriman ,&nbsp;Marion Waite ,&nbsp;Laura Strumidlo ,&nbsp;Mike Ramsay ,&nbsp;Laura Serrant ,&nbsp;Caroline Bradbury Jones ,&nbsp;Mary Malone","doi":"10.1016/j.ijnsa.2024.100260","DOIUrl":"10.1016/j.ijnsa.2024.100260","url":null,"abstract":"<div><div>Introduction: Nursing students internationally entered challenging clinical placements during COVID-19. Lessons learnt could inform nurse education planning, particularly in preparation to implement future workforce plans.</div><div>Aim: This study aimed to explore the impact of COVID-19 on nursing students undertaking clinical placements across the UK, particularly the extent to which nursing education prior to and during COVID-19 had prepared them for placements, and to distil key messages for future nursing education.</div><div>Methods: A UK-wide qualitative study was conducted using audio or written placement diaries and post-placement telephone or online interviews with nursing students from all years of study and from adult, children, mental health and learning disability disciplines. Transcripts were analysed thematically using the Framework Approach. A pre-survey collected participants’ demographic information, details and expectations of their upcoming clinical placements, and how well prepared they felt. Ethical approval was gained.</div><div>Results: Two hundred and sixteen nursing students from across the UK participated in the study. Five key themes were identified: ‘stepping up to the challenge and feeling the fear’, ‘new ways of learning’, ‘theory versus clinical practice’, ‘impact on clinical and academic partnerships’, and ‘concerns around demonstrating proficiency’.</div><div>Discussion: Differing levels of preparedness of nursing students for clinical placement were reported. While many felt honoured to be a part of the nursing workforce during COVID-19, the rapidly changing clinical landscape led to unplanned changes to placements, lack of skills practice, uncertain practice supervision and distance learning which impacted on their confidence and perceived levels of competence leading to anxiety around demonstrating proficiency and achieving practice hours. Greater collaboration between universities, clinical placement teams, policy makers and regulators are key lessons post COVID19 to improve the support and preparedness of nursing students.</div></div>","PeriodicalId":34476,"journal":{"name":"International Journal of Nursing Studies Advances","volume":"7 ","pages":"Article 100260"},"PeriodicalIF":3.1,"publicationDate":"2024-11-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142698608","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Feasibility of a new transmural care pathway for advance care planning for older persons: A qualitative study into community care registered nurses’ perspectives","authors":"Patricia Jepma ,&nbsp;Roel Eijk ,&nbsp;Annigje A.E. Bos ,&nbsp;Noor Toet ,&nbsp;Corine H.M. Latour ,&nbsp;Bianca M. Buurman ,&nbsp;Marjon van Rijn","doi":"10.1016/j.ijnsa.2024.100264","DOIUrl":"10.1016/j.ijnsa.2024.100264","url":null,"abstract":"<div><h3>Background</h3><div>Transmural palliative care interventions aim to identify older persons with palliative care needs and timely provide advance care planning, symptom management, and coordination of care. Nurses can have an important role in these interventions; however, their expertise is currently underused. A new transmural care pathway with a central role for the community care registered nurse in advance care planning aims to contribute to the quality of palliative care for older persons.</div></div><div><h3>Objective</h3><div>To examine the perspectives of community nurses on the feasibility of a new transmural care pathway for advance care planning for older persons.</div></div><div><h3>Design</h3><div>A qualitative study design using semi-structured interviews.</div></div><div><h3>Setting(s)</h3><div>Interviews were performed with community nurses of three participating homecare organizations in the Netherlands between March and May 2023.</div></div><div><h3>Participants</h3><div>19 community nurses.</div></div><div><h3>Methods</h3><div>A topic guide was based on (1) challenges in advance care planning identified from the literature and (2) concepts that are important in assessing the feasibility of complex healthcare interventions provided by the Normalisation Process Theory framework. A combined inductive and deductive thematic analysis was performed.</div></div><div><h3>Results</h3><div>Four themes were identified: views on the transmural care pathway, community nurses’ needs to fulfil their role, key points regarding implementation, and evaluation of the new practice. In general, community nurses were positive about the feasibility of the new practice as it provided a more structured work process that could facilitate interprofessional collaboration and improve the quality of palliative care. Overall, the feasibility of the new practice, from community nurses perspective, was determined by (1) clear roles and responsibilities in the transmural care pathway, (2) standardized registration of advance care planning, and (3) close involvement of community nurses in the whole implementation process.</div></div><div><h3>Conclusions</h3><div>We highlighted important factors, from the perspectives of community nurses, that need to be considered in the implementation of a new transmural care pathway for advance care planning. A clear division of roles and responsibilities, standardized registration of advance care planning, and involvement of community nurses during the whole implementation process were mentioned as important enabling factors. This knowledge might contribute to successful implementation of a transmural care pathway that aims to enhance the quality of palliative care for older persons.</div></div><div><h3>Tweetable abstract</h3><div>Community nurses’ perspectives on the feasibility of a transmural care pathway for advance care planning for older persons.</div></div>","PeriodicalId":34476,"journal":{"name":"International Journal of Nursing Studies Advances","volume":"7 ","pages":"Article 100264"},"PeriodicalIF":3.1,"publicationDate":"2024-11-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142698610","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Conceptualizing healthcare professionals’ relational competence in mental healthcare: An integrative review","authors":"Lise Sæstad Beyene ,&nbsp;Elin Bolle Strand ,&nbsp;Aud Ragnhild Misund ,&nbsp;Helene Eidsmo Barder ,&nbsp;Trine Lise Brente ,&nbsp;Hege Therese Størksen","doi":"10.1016/j.ijnsa.2024.100266","DOIUrl":"10.1016/j.ijnsa.2024.100266","url":null,"abstract":"<div><h3>Introduction</h3><div>The relationship between patients and mental health professionals is the cornerstone of all mental health treatment, and good patient-professional relationships are associated with several positive therapeutic outcomes for patients with mental health challenges. Mental health professionals’ relational competence is essential for high-quality services in mental healthcare. There is currently no unified understanding of the concept of relational competence. This study seeks to address this gap by exploring how relational competence is conceptualized within the context of mental healthcare. The research question was: How is relational competence described in the research literature within the context of mental healthcare?</div></div><div><h3>Methods</h3><div>An integrative review was conducted with systematic searches in the databases PsycInfo, Ovid Medline, Embase, CINAHL, ERIC, Academic Search Elite, IDUN, and Svemed+, spanning from January 2012 to October 2023, as well as hand searches in the reference lists of the included studies. A thematic synthesis was carried out based on the results in the included studies.</div></div><div><h3>Results</h3><div>Out of 2970 scientific studies screened, 30 were included, employing a variety of research methodologies to explore relational competence within mental healthcare. Four themes were found to describe relational competence in mental healthcare: having the ability to self-reflect and self-regulate, having a genuine interest in understanding the patient, engaging in reciprocal interaction with the patient, and meeting the patient so that they feel acknowledged. Each theme describes a central and important part of relational competence, but fully developed relational competence must be understood as a whole in which all the themes are present.</div></div><div><h3>Conclusion</h3><div>Relational competence in mental healthcare incorporates all the identified components. Each theme complements the others and contributes to the construction of a strong therapeutic relationship between patients and mental health professionals. To provide the best possible care for mentally ill patients, healthcare professionals must embrace and integrate these elements into their practice.</div></div>","PeriodicalId":34476,"journal":{"name":"International Journal of Nursing Studies Advances","volume":"7 ","pages":"Article 100266"},"PeriodicalIF":3.1,"publicationDate":"2024-11-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142652499","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Registered nurses’ experiences of communication with patients after the end-of-life breakpoint communication: A pilot interview study","authors":"Rebecka Nilsson ,&nbsp;Ami Hommel","doi":"10.1016/j.ijnsa.2024.100263","DOIUrl":"10.1016/j.ijnsa.2024.100263","url":null,"abstract":"<div><h3>Purpose</h3><div>Effective nurse-patient communication is demanding and essential when patients’ treatment changes from curative to palliative approach. We aimed to illustrate nurses’ experiences communicating with patients who have undergone end-of-life breakpoint communication.</div></div><div><h3>Method</h3><div>Six nurses from both haematology and oncology wards at a hospital in southern Sweden were interviewed. The data were analysed using content analysis.</div></div><div><h3>Result</h3><div>Three themes with a total of eight categories were identified: <em>Nurses were excluded from the end-of-life breakpoint communication</em>, which impacted the following communication and the dialogue between nurses and patients afterwards; <em>the importance of communication,</em> where the experience of following-up patients, supporting patients and having existential conversations was highlighted; <em>the nurses’ strategies in the communication</em>, included experience of using tools, the need for more information and education, and to be human.</div></div><div><h3>Conclusion</h3><div>Nurses in today's healthcare system need education to provide the care and the communication that patients ask for and are obligated to receive regarding support and information. In the results, nurses suggest and relate their strategies for effective patient communication, which would also aid nurses working in areas other than palliative care. For example, they propose collaborating more with physicians to facilitate better information flow and patient contact. Moreover, reflective tutorials, including spiritual leaders to aid patients’ existential concerns, are beneficial. The need for further research in this area is crucial for the growth and development of nurse-patient communication.</div></div>","PeriodicalId":34476,"journal":{"name":"International Journal of Nursing Studies Advances","volume":"7 ","pages":"Article 100263"},"PeriodicalIF":3.1,"publicationDate":"2024-11-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142652498","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}