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Nursing Open May 2023The aim of this study was to identify the defining characteristics of spiritual distress (00066). (Review)
Review
AIM
The aim of this study was to identify the defining characteristics of spiritual distress (00066).
DESIGN
This study was conducted by integrated review method using Broom method.
METHODS
PubMed, ProQuest, Web of Science, Embase, Scopus, and Cochran Library, and Persian scientific databases were searched from January 2010 to December 2020.
RESULTS
Twenty-one article and 74 defining characteristics were identified. 33 of these defining characteristics was mentioned in NANDA. The criteria with the highest frequency and repetition in articles were lack of peace, lack of hope, change in anger behaviour, lack of meaning in life, change in fear and crying behaviour, Concern about belief and values system and/or God.
CONCLUSION
Some of the spiritual distress defining characteristics overlap with other nursing diagnoses, including anxiety and hopelessness. Clinical and content validation studies need to be conducted and the main criteria for diagnosing spiritual distress in different cultures and religions need to be identified.
Topics: Spirituality; Nursing Diagnosis; Religion; Stress, Psychological; Affect
PubMed: 36627735
DOI: 10.1002/nop2.1574 -
BMJ Open Jul 2022Nurses comprise the largest group of health workers globally and are essential to the provision of care necessary for delivering curative therapy to children with...
INTRODUCTION
Nurses comprise the largest group of health workers globally and are essential to the provision of care necessary for delivering curative therapy to children with cancer. In high-income countries, previous studies of the nurse workforce have shown an association between patient morbidity and mortality and nursing-related factors such as staffing, education and the nursing practice environment. There is currently limited evidence available to define the scope of essential core competencies for paediatric oncology nursing (PON) practice internationally and specifically in Latin America. Clearly defined essential core competencies contribute to establishing nurses' scope of practice within clinical practice, education and research settings. Here, we aimed to map and synthesise the available evidence on the scope of PON practices in the context of clinical practice, educational training and research settings in Latin America.
METHODS
A scoping review (ScR) protocol is reported, adhering to the Preferred Reporting Items for Systematic Review and Meta-Analysis Protocols statement and guided by The Joanna Briggs Institute. MEDLINE/PubMed, Cochrane Library, Embase, CINAHL, Web of Science, Scopus, Science Direct and Latin American and Caribbean Health Sciences Literature, plus additional sources: The ProQuest Dissertation & Theses Global, The British Library, Google Scholar, medRXiv, ClinicalTrials.gov and WHO-ICTRP will be searched. No date or language restrictions will be employed. Two independent researchers will conduct all the steps of this ScR. The findings will be presented through tables, charts, narrative summaries and assessed based on the outcomes. The search strategy will be updated in May 2022. The expected completion date for this ScR is November 2022.
ETHICS/DISSEMINATION
This protocol does not require ethical approval. The dissemination plans comprise peer-reviewed publication and conference presentations, to be shared with International Oncology Societies/International Nursing Societies and advisory groups to inform discussions on future research. We expect that our results will be of interest to nurse professionals, especially, PON and nurse scholars concerned with this particular issue.
Topics: Child; Humans; Latin America; Meta-Analysis as Topic; Oncology Nursing; Pediatric Nursing; Research Design; Review Literature as Topic; Scope of Practice; Workforce
PubMed: 35868831
DOI: 10.1136/bmjopen-2022-061853 -
Journal of Pediatric Nursing 2022Quality nursing care in pediatric emergency departments (PEDs) can be achieved only through sustained workload-based manpower planning. The purpose of this paper to...
PURPOSE
Quality nursing care in pediatric emergency departments (PEDs) can be achieved only through sustained workload-based manpower planning. The purpose of this paper to evaluate perceptions of workload and manpower planning in the PED setting in Turkey from the nurses' point of view.
DESIGN AND METHODS
This cross-sectional, multicenter study that was conducted among 187 nurses working in a PED setting in Turkey between June and September 2021. Data were collected using a questionnaire that measured nurses' perceptions of workload and manpower planning. The reporting of this study adhered to STROBE guidelines.
RESULTS
The majority of the respondents perceived the number of patients-per-nurse during a shift to be too high, the number of nurses to be insufficient in proportion to the workload, and the nursing manpower-planning to be insufficient and biased. Those with ≤1 year of nursing experience in the PED perceived an increased workload and more burnout during the COVID-19 pandemic period.
CONCLUSIONS
Nurses working in PED setting perceived the workload and manpower planning to be inadequate. In addition, nurses who were less experienced or felt burnout perceived their workload to be increased during the COVID-19 pandemic.
PRACTICE IMPLICATIONS
Further exploration of workload and manpower planning in PEDs is required. Quantifying nurses' perspectives of workload and manpower when managing emergency pediatric patients is essential for designing appropriate interventions to improve the working environment. Future studies should focus on comparing nurses' perceptions with actual workloads and manpower planning in PEDs using appropriate measurement tools.
Topics: Burnout, Professional; COVID-19; Child; Cross-Sectional Studies; Emergency Service, Hospital; Humans; Nursing Staff, Hospital; Pandemics; Surveys and Questionnaires; Turkey; Workforce; Workload
PubMed: 35410734
DOI: 10.1016/j.pedn.2022.03.014 -
BMC Nursing May 2023Nurses working in pediatric wards should communicate with children well and have appropriate caring behaviors according to the age of their patients, so distance...
BACKGROUND
Nurses working in pediatric wards should communicate with children well and have appropriate caring behaviors according to the age of their patients, so distance education is very suitable for them due to its availability. This study aimed to determine the effect of online education on the principles of pediatric nursing care on the caring behaviors of nurses working in pediatric wards.
METHODS
This interventional (quasi-experimental) study used a simple random method to select 70 nurses working in pediatric wards and pediatric intensive care units in Kerman. The nurses in the intervention group received online training in the sky room three days a week, while nurses in the control group received routine pediatric care. The study instruments were the demographic information questionnaire and the Caring behaviors Questionnaire, which were completed by two groups before and one month after the intervention. Data were analyzed with SPSS 25. The significance level was set at P < 0.05.
RESULTS
The independent samples t-test indicated no significant differences in the mean scores of care behaviors between the intervention (256.61 ± 5.16) and control groups (257.52 ± 3.99) before the intervention (P = 0.23) but indicated a significant difference in the mean scores of caring behaviors between the intervention (275.69 ± 6.52) and control groups (254.21 ± 3.15) after the intervention. Therefore, online education increased the score of caring behaviors in the intervention group.
CONCLUSION
Distance education had an impact on the caring behaviors of nurses in pediatric wards and we recommend the use of e-learning to improve the caring behaviors and the quality of care of nurses.
PubMed: 37158863
DOI: 10.1186/s12912-023-01315-8 -
Revista Da Escola de Enfermagem Da U S P 2021To evaluate the effect of training on intravenous medication administration in pediatric patients on nursing staff 's learning and response.
OBJECTIVE
To evaluate the effect of training on intravenous medication administration in pediatric patients on nursing staff 's learning and response.
METHOD
This is a quasi-experimental study (pre- and post-test), with 38 nursing professionals who participated in training on administration of intravenous (IV) medication in pediatric patients with heart disease. For data collection, a questionnaire with 19 items was applied to evaluate participants' learning before (pre-test) and after (post-test) training. Data were analyzed by descriptive and analytical statistics (binomial and Friedman tests).
RESULTS
Nurses predominated (52.6%), mean age 41.2 years and 9.8 years of professional experience in pediatrics. For learning evaluation, there was an increase in the rate of hits from the pre-test to the post-test in 13 items, with a significant difference (p < 0.05) in the items: removing adornments to sanitize hands; wearing gloves when administering medication; administering medication with gloves, mask and goggles; and checking patient name by asking their companion.
CONCLUSION
Training had positive effects on nursing professionals' learning and reaction.
Topics: Adult; Child; Clinical Competence; Controlled Before-After Studies; Education, Nursing, Baccalaureate; Humans; Learning; Pediatric Nursing
PubMed: 34570871
DOI: 10.1590/1980-220X-REEUSP-2021-0195 -
Journal of Pediatric Nursing 2022Communication quality is an essential indicator of family functioning and represents an important outcome after pediatric nursing interventions. However, few...
PURPOSE
Communication quality is an essential indicator of family functioning and represents an important outcome after pediatric nursing interventions. However, few well-documented child-report questionnaires for family communication exist. We aimed to document the psychometric properties of a previously developed child-rated family communication scale for use in pediatric nursing.
DESIGN AND METHODS
We examined the Parent-Child Communication Scale - Child Report (PCCS-CR) in terms of factor structure, convergent validity against the Experiences in Close Relationships-Relationship Structures scale (ECR-RS), and known-groups validity between a sample of siblings of children with pediatric health conditions and controls. The sample comprised 101 siblings of children with a pediatric health condition and 44 controls (M age = 11.5 years, SD = 2.2).
RESULTS
We confirmed a two-factor structure of the PCCS-CR. One factor is communication from the child to the parent, labelled child communication (e.g., "I discuss problems with my parents") and the other is communication from the parent to the child, labelled parent communication (e.g., "My parent is a good listener"). Convergent validity of the PCCS-CR was demonstrated through correlations with ECR-RS (r = -0.73 to -0.22, p ≤ .05). Further, construct validity through differences between families with and without a child with a pediatric health condition was demonstrated (g = 0.36-0.83, p ≤ .052).
CONCLUSION
The PCCS-CR appears to be a psychometrically sound measure of parent-child communication from the child's point of view.
PRACTICAL IMPLICATIONS
The PCCS-CR can be administered in pediatric nursing care and can be used to target and measure the outcomes of interventions aimed at enhancing family functioning.
Topics: Child; Communication; Humans; Parent-Child Relations; Parents; Pediatric Nursing; Psychometrics; Quality of Life; Reproducibility of Results; Surveys and Questionnaires
PubMed: 34799202
DOI: 10.1016/j.pedn.2021.10.022 -
International Nursing Review Jun 2021This study was conducted to examine the experiences and feelings of nurses who have children when caring for patients with coronavirus disease (COVID-19).
AIM
This study was conducted to examine the experiences and feelings of nurses who have children when caring for patients with coronavirus disease (COVID-19).
BACKGROUND
The COVID-19 pandemic has affected the whole world, including Turkey where this study was conducted. Nurses are among healthcare professionals who are intensively working at the forefront during this pandemic. Countries are implementing many policies to fight this pandemic. Turkey also has implemented protective measures related to travel, sports, and cultural activities and has prohibited social meetings.
METHOD
The study was conducted with 26 nurses working in COVID-19 clinics of two hospitals in eastern Turkey between May and July 2020 using a qualitative descriptive design.
FINDINGS
Nurses who had children longed for their children and worried about them. They were afraid of getting infected with the disease and transmitting it. Based on content analysis, the themes of the study were determined as follows: (1) longing (longing for children and longing for the pre-pandemic period), (2) fear (fear of transmitting the disease and fear of death), (3) despair, (4) concern (concern resulting from working in a different clinic, concern resulting from lack of knowledge, and concern resulting from lack of protective equipment), and (5) professional responsibility (professional awareness and love for the profession).
CONCLUSION
Nurses were away from their families for a long time because of the fear of getting infected with COVID-19 and transmitting it. They longed for their children and experienced desperation, fear, and anxiety. They loved their profession and were not considering quitting their profession.
IMPLICATIONS FOR NURSING AND HEALTH POLICY
Nurses working in COVID-19 units wear protective equipment and work for a long time under difficult conditions. In addition, nurses who have children are separated from their children because of the fear of transmitting COVID-19. Therefore, nurses caring for COVID-19 patients should alternately be replaced by nurses working in other services. They should be given the opportunity to rest and spend time with their loved ones if they are not carriers of COVID-19.
Topics: Adult; COVID-19; Female; Humans; Male; Nursing Staff, Hospital; Pandemics; Parents; Pneumonia, Viral; Qualitative Research; SARS-CoV-2; Turkey
PubMed: 33434317
DOI: 10.1111/inr.12651 -
Respiratory Medicine Jan 2022Advances in medical care and ventilator technologies increase the number of children with tracheostomy and home mechanical ventilation (HMV). Data on severe adverse...
BACKGROUND
Advances in medical care and ventilator technologies increase the number of children with tracheostomy and home mechanical ventilation (HMV). Data on severe adverse events in home care and in specialized nursing care facilities are limited.
PATIENTS AND METHODS
Retrospective analysis of incidence and type of severe adverse events in children with tracheostomy and HMV in home care compared to a specialized nursing care facility over a 7-year period.
RESULTS
163.9 patient-years in 70 children (home care: 110.7 patient-years, 24 patients; nursing care facility: 53.2 patient-years, 46 patients) were analyzed. In 34 (48.6%) patients tracheostomy was initiated at the age of <1 year. 35 severe adverse events were identified, incidence of severe adverse events per patient-year was 0.21 (median 0.0 (0.0-3.0)). We observed no difference in the rate of severe adverse events between home care and specialized nursing care facility (0.21 [y-1]; median 0.0 (0.0-3.0) versus 0.23 [y-1]; median 0.0 (0.0-1.6); p = 0.690), however, significantly more tracheostomy related incidents and infections occurred in the home care setting. Young age (<1 year) (Odds ratio 3.27; p = 0.045) and feeding difficulties (nasogastric tubes and percutaneous endoscopic gastrostomy) (Odds ratio 9.08; p = 0.016) significantly increased the risk of severe adverse events. Furthermore, the rate of severe adverse events was significantly higher in patients with a higher nursing score.
CONCLUSION
Pediatric home mechanical ventilation via tracheostomy is rarely associated with emergencies or adverse events in home care as well as in a specialized nursing care facility setting.
Topics: Child; Home Care Services; Humans; Pediatric Nursing; Respiration, Artificial; Retrospective Studies; Tracheostomy
PubMed: 33865662
DOI: 10.1016/j.rmed.2021.106392 -
Journal of Family Medicine and Primary... Oct 2022The level of nurses' readiness and knowledge can significantly influence on the quality of treatment and patients' health. Nurses should have a high level of knowledge...
INTRODUCTION
The level of nurses' readiness and knowledge can significantly influence on the quality of treatment and patients' health. Nurses should have a high level of knowledge and understanding of clinical care and its aspects. According to this issue, our study has been performed with the aim to compare the readiness of different wards of the hospital in evaluating important indicators of clinical care.
METHODS
This descriptive cross-sectional study was performed on 99 medical staff working in different wards of the hospital - during July 2020 to December 2021. Nurses in different wards of the hospital were compared in terms of care indicators. The tool used was a checklist for the effectiveness and evaluation of clinical care. The data were analyzed by SPSS statistical software.
FINDINGS
About 16.3% of the nurses were male, and 85.7% were female. Nurses in different wards were significantly different in terms of catheter and ligament care, blood transfusion and products, serum therapy and IV therapy, communication and training skills, pharmaceutical processes, and working with ventilators (p < 0.05). Emergency and general wards' nurses showed better readiness for pharmaceutical processes and emergency, and neonatal intensive care unit (NICU) ward nurses showed the best readiness in relation to catheter care and absorption and excretion processes and blood transfusion and products (p < 0.05).
CONCLUSION
Despite an appropriate readiness in many wards, care readiness was placed on a lower extent in some wards. There were also limitations, strengths, and weaknesses in some aspects, including medication, care and standards, and infection control, which, because of this issue, can help improve nurses' performance in the future.
PubMed: 36618165
DOI: 10.4103/jfmpc.jfmpc_242_22 -
Revista Latino-americana de Enfermagem Sep 2020to identify the challenges pediatric nursing workers face as a result of the COVID-19 pandemic.
OBJECTIVE
to identify the challenges pediatric nursing workers face as a result of the COVID-19 pandemic.
METHOD
qualitative study, using a semi-structured electronic form applied to nursing workers from pediatric services in the state of Rio de Janeiro, Brazil. Data were submitted to lexicographic analysis using the Interface de R pour Analyses Multidimensionnelles de Textes et de Questionnaires, Word Cloud technique, and Similitude Analysis.
RESULTS
different challenges concerning the COVID-19 pandemic were reported, including the need to promote comprehensive and quality care while being concerned with protecting oneself and others, with an emphasis on fear. A lack of protective equipment, training, diagnostic tests, and knowledge/information concerning the disease was also reported, in addition to a reduced number of nursing workers and a lack of appreciation for the profession.
CONCLUSION
managerial guidelines need to be adopted for properly allocating human and material resources in the health field, including the pediatric services, in addition to providing training on standard precautions. Actions to encourage, value, motivate, and support the nursing staff are needed during and after the pandemic to protect the physical and mental health of these professionals.
Topics: Betacoronavirus; Brazil; COVID-19; Child; Coronavirus Infections; Fear; Health Knowledge, Attitudes, Practice; Humans; Nursing Staff; Pandemics; Pediatric Nursing; Personal Protective Equipment; Pneumonia, Viral; SARS-CoV-2
PubMed: 32901774
DOI: 10.1590/1518-8345.4550.3367