Self‐awareness is essential for nurses for improving nurse–patient relationship and patient care. There are many theories about self‐awareness, but scant research explores nurses' perspectives regarding self‐awareness and its significance for themselves and patient care. This study explores nurses' perspectives regarding self‐awareness in nursing, the importance of self‐awareness for nurses, and its influence on patient care. We used a descriptive qualitative design. Face‐to‐face semistructured interviews were conducted, from October to December 2018, with a purposive sample of 13 nurses at two hospitals in Pakistan. Thematic analysis was used for data analysis. Five themes and 13 subthemes were generated. The themes included the meaning of self‐awareness: a personal, professional, and conscientious attribute, significance of self‐awareness for nurses, self‐aware nurses and its impact on patient care, behaviors, and actions signifying self‐awareness, and what is needed to enhance self‐awareness. Self‐awareness can increase nurses' confidence in managing challenging situations and providing culturally competent care to patients from various cultural and religious orientations.
Students face different types of stresses during their study. Stress refers to a dynamic interaction between the individual and the environment. Stress is simply the body's non-specific reaction to any demand made on the body. Stress is a psychological factor that influences the academic performance and welfare of nursing students. Therefore, this study was planned with the objective to identify the major stress factors among nursing students of Allied Hospital, Faisalabad, Punjab, Pakistan. The sample size of 150 female participants was selected through simple random methods. For the purpose descriptive cross sectional study design was used. Results revealed that there are many factors which create stress among nursing students but academic, clinical and environmental factors are the major. The 70%, 75% and 60% participants were agreed and strongly agreed with academic, clinical and environmental factors, respectively, which causes the stress to nursing students. The results of the findings indicate that students experienced mainly academic and clinical stresses which have positive impact on the students learning. The outcomes of the study will be beneficial in designing an accurate stress management package for nursing students of Allied Hospital, Faisalabad.
Aims and Objectives To determine nurses’ perceived barriers to the delivery of person‐centred care to complex patients with multiple chronic conditions in acute care settings. Background Complex patients have multiple physical and mental health problems, and their life is also greatly affected by sociocultural and economic determinants of health. These patients require person‐centred care, but nurses often find it challenging to provide effective care to these patients due to their complex health needs. Design A descriptive qualitative design was used. The COREQ guidelines were followed for reporting. Methods Semi‐structured interviews were conducted with a purposive sample of 19 nurses in two hospitals. Data were analysed using deductive thematic analysis guided by the Theoretical Domains Framework, which entails 14 domains about factors affecting behaviours. Results The key barriers were identified under environmental context and resources, social influences, emotions, knowledge and skills domains. Deep‐rooted social issues delay patients’ health‐seeking and nurses’ abilities to understand patients’ needs and discern appropriate care. Interpersonal hostility influenced nurse–patient–families interactions, and doctor–nurses conflicts affected collaborative efforts towards optimal care. Conclusions Nurses’ perceived barriers to care were intertwined with the deep‐rooted social and cultural beliefs about nurses’ image, patients’ expectations and families’ preference for home remedies over specialised nursing care. These barriers to person‐centred care demonstrate an intricate interplay of personal, social and organisational issues and power struggles. Multifaceted implementation strategies targeting environmental context and resources, social influences, emotions, knowledge and skills domains may be beneficial to enable nurses to provide better person‐centred care to complex patients. Relevance to clinical practice Designing implementation facilitation teams, organising person‐centred care grand rounds, and allocation of stress management resources to address hostility, social‐cultural influences, and organisational barriers is essential. Nurses could focus on their self‐awareness and collaborative skills to address emotional and interprofessional conflicts.
Aim The aim of this study is to assess the burden of burnout and psychological distress and its association among Pakistani nurses providing care to patients with COVID‐19. Background Nurses may experience an elevated risk of burnout and psychological distress during epidemics. Methods A cross‐sectional study was conducted using a convenience sample of 288 nurses. Maslach Burnout Inventory was administered to measure burnout and its domains of emotional exhaustion, depersonalization, and personal accomplishment. Screening Tool for Psychological Distress was administered to measure depression, anxiety, stress, anger, and low social support. Results Burnout was present in 48.6% of nurses, severe emotional exhaustion in 37.2%, severe depersonalization in 36.8%, and low personal accomplishment in 46.9% of nurses. Psychological distress was present in 45% of nurses. Burnout and psychological distress were significantly higher in nurses who: were working in public hospitals, did not receive training for COVID‐19 prevention, and were dealing with increased patient load. Burnout and its domains were significantly associated with depression, anxiety, stress, anger, and low social support. Conclusion Nurses are experiencing high levels of burnout and psychological distress during the COVID‐19 pandemic with a significant moderate‐to‐strong association between these conditions. These findings accentuate the need for institution‐based interventions to mitigate burnout and preserve the mental health of nurses. Implications for nursing and health policy Hospitals must screen nurses frequently for the presence of significant burnout and psychological distress and offer supportive interventions to protect their mental health and well‐being.
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