Current Issue : October - December Volume : 2020 Issue Number : 4 Articles : 5 Articles
Communication is an integral part of life and of nurse-patient relationships. Effective communication\nwith patients can improve the quality of care. However, the specific communication needs of older adults can\nrender communication between them and nurses as less effective with negative outcomes.\nMethods: This scoping review aims at describing the type of nonverbal communication used by nurses to\ncommunicate with older adults. It also describes the older adultsâ?? perceptions of nursesâ?? nonverbal communication\nbehaviors. It followed (Int J Soc Res 8: 19-32, 2005) framework. Grey literature and 11 databases were systematically\nsearched for studies published in English and French, using search terms synonymous with nonverbal\ncommunication between nurses and older adults for the period 2000 to 2019.\nResults: The search revealed limited published research addressing nonverbal communication between older\nadults and nurses. The studies eligible for quality assessment were found to be of high quality. Twenty-two studies\nwere included and highlighted haptics, kinesics, proxemics, and vocalics as most frequently used by nurses when\ncommunicating with older adults; while studies showed limited use of artefacts and chronemics. There was no\nmention of nursesâ?? use of silence as a nonverbal communication strategy. Additionally, there were both older\nadultsâ?? positive and negative responses to nursesâ?? nonverbal communication behaviors.\nConclusion: Nurses should be self-aware of their nonverbal communication behaviors with older adults as well as the\nway in which the meanings of the messages might be misinterpreted. In addition, nurses should identify their own\nstyle of nonverbal communication and understand its modification as necessary in accordance with patientâ??s needs....
Psychiatric day care plays an important role as transitional support after discharge\nin Japan. However, interruption rate of the day care treatment is high\nduring the introductory period. The purpose of this study was to clarify the\nexperiences of psychiatric day-care patients during the introductory period\nand find an approach to care. A qualitative study with thirteen patients at the\nintroductory period was designed to explore participantâ??s experiences through\nsemi-structured interviews. At first, patients were confused about their attitude\nbecause they paid attention to themselves, and consequently closed their\ninvolvement with others. However, through therapeutic day care activities, they\nattempted to adapt themselves and gradually turned their attention toward\nothers and accumulated interpersonal experiences. As interactions with others\nbecame more frequent, they became conscious of themselves and others.\nFinally, while having worries about the future, they looked toward recovery and\nbecame aware that they were changing. Experiences of patients during the introductory\nperiod were essential to their recovery and gave meaning to their\nday care usage. Nurses should collaborate with patients to determine whether\nday care would serve to open a patientâ??s life to new possibilities....
Background: In participating in the medical support work in the Nyingchi\narea of Tibet, the author found that the medical education resources in this\narea are scarce, and the clinical nurses in this area have relatively insufficient\nknowledge about blood glucose monitoring and management. Accurately\nunderstanding the knowledge-attitude/belief-practice (KAP) level of nurses in\nNyingchi area on blood glucose management is of great significance to the\ndevelopment of blood glucose monitoring management guidance for nurses\nin this area. Therefore, this study investigated the current status of the management\nof blood glucose monitoring management standards for clinical\nnurses in Nyingchi, Tibet. Objective: To investigate and analyze the current\nsituation of clinical nurses in Nyingchi region of Tibet to grasp the regulation\nof blood glucose monitoring and guide the implementation of the norm of\nblood glucose monitoring for clinical nurses. Methods: The research survey\nwas carried out from March to April 2020. Random sampling method was used\nto select 134 clinical in-service nurses in Nyingchii, Tibet. The self-designed\nknowledge-attitude/belief-practice survey questionnaire for clinical nursesâ??\nblood glucose monitoring and management in Tibet was used. Nursesâ?? blood\nglucose monitoring management â??KAPâ? scores and related influencing factors\nare analyzed. Results: Blood sugar monitoring and management knowledge\nscore is (36.78 ± 6.80), attitude dimension is......................
The hospitalization of children requires collaboration between parents and nurses in partnerships.\nThis study examines parentsâ?? and nursesâ?? experiences of ideal collaboration in treatment-centered and home-like\ncare of hospitalized preschool children.\nMethods: This qualitative study is part of a larger study of 12 parents and 17 nurses who were responsible\nfor 11 hospitalized children. Data collection took place at a Norwegian general paediatric unit, and the data\nwere gathered from observations of and qualitative interviews with the parents and nurses. The analysis was\nconducted in six steps, in alignment with Braun and Clarke.\nResults: Two essential themes emerged from the analysis. (1) Treatment-centered care focuses on the\nfollowing tasks in building relationships â?? gaining trust, securing - gaining voluntariness, distracting and\ncomforting, and securing and gaining voluntariness. The purpose of treatment-centered care is to perform\ndiagnostic procedures and offer treatment. (2) Home-like care, the purpose of which is to manage a childâ??s\neveryday situations in an unfamiliar environment, focuses on the following tasks: making familiar meals,\nmaintaining normal sleeping patterns, adjusting to washing and dressing in new situations, and normalizing\nthe time in between. From this pattern, we chose two narratives that capture the essence of ideal collaboration\nbetween parents and nurses.\nConclusion: The ideal collaboration between nurses and parents is characterized by flexibility and reciprocity, and is\nbased on verbal and action dialogues. In treatment-centered care, parent-nurse collaboration was successful in its flow\nand dynamic, securing the childrenâ??s best interests. Meanwhile, the achievement of the childrenâ??s best interest within\nhome-like care varied according to the level of collaboration, which in turn was related to the complexity of the\nchildrenâ??s everyday situations....
To explore registered nursesâ?? (RNsâ??) experiences of practising person-centred care (PCC) by telephone\nwith people diagnosed with chronic obstructive pulmonary disease and/or chronic heart failure.\nMethods: Qualitative interview study. Four RNs were individually interviewed before, during, and after participating\nin an intervention practising PCC by telephone. The interviews were analysed using qualitative content analysis.\nResults: The results reflect three categories of their experience: realize the complexity of practising PCC by distance,\ngain insight into what PCC communication meant to RNs and their approach, and develop the professional role by\npractising PCC theory and ethics.\nConclusions: PCC over the telephone facilitate healthcare and support patients. Through careful listening, the RNs\n(1) created space for the individual patients to express their thoughts and feelings and (2) emphasized each\npatientâ??s capabilities and resources. The RNs also gained an understanding of PCC and what it means to patients\nand to themselves as practitioners. Potential implications are that it is important for RNs practising PCC by\ntelephone to remould their role, to listen carefully, and to communicate as equals in conversations that respect\nboth partiesâ?? knowledge and expertise. Health professionals need supervision and support to fully understand the\nperson-centred approach and provide communications that support it....
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