A qualitative study of medical-surgical intensive care unit nurses’ experiences in caring for critical patients

Dikmen, Burcu Totur; Bayraktar, Nurhan; Yılmaz, Ümran Dal

doi:10.1590/1980-220x-reeusp-2022-0220en

Cited by 3 publications

(3 citation statements)

References 29 publications

(88 reference statements)

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“…Usually, the recommended patient care leads to a departure from the usual care procedure and ultimately causes fear in the care team. In previous studies, it has been shown that phenomenology has been used to examine experiences related to specific cases such as caring for Covid-19 patients, caring for critical patients, and end-of-life care [17][18][19]. Phenomenology focuses on lived experiences that are perceived or interpreted by participants.…”

Section: Introductionmentioning

confidence: 99%

Exploring nurses’ experiences of recommended patient care: a descriptive phenomenological study

Faraji,

Jalali,

Khatony

et al. 2024

BMC Nurs

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Background Caring for recommended patients creates work and emotional challenges for nurses. Nurses are obligated to provide care regardless of the patient’s situation. Therefore, knowing the experiences of nurses in dealing with recommended patients in order to provide quality and effective care can be the basis for increasing patient satisfaction. The present study was conducted aimed to explain nurses’ experiences of caring for recommended patients. Methods This was a qualitative study with descriptive phenomenological approach. Participants were 12 nurses working in different wards of hospitals affiliated to Kermanshah University of Medical Sciences, selected by purposive sampling method with maximum diversity. The data collected using semi-structured interviews in face-to-face and audio-recorded methods. MAXQDA 2020 software was used for data management. The analysis of the data was done using the Colaizzi’s 7-step method. In order to verify the trustworthiness of the data, Lincoln and Guba criteria were used. Results After continuous data analysis, 110 initial codes were extracted. These codes emerged in 18 sub-themes and 6 main themes including: catastrophe, be in decline, be in progress, discrimination, work overload, and poor prognosis. Conclusions The results showed information about the presence of recommended patients in the hospital, which can have consequences for patients and nurses. Therefore, it is advised that nurses provide standard care and avoid any kind of discrimination against all patients regardless of whether the patient is recommended or not.

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Section: Introductionmentioning

confidence: 99%

Exploring nurses’ experiences of recommended patient care: a descriptive phenomenological study

Faraji,

Jalali,

Khatony

et al. 2024

BMC Nurs

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“…Therefore, empathetic interaction between cardiac nurses and their patients is required for the management of patients' negative feelings. However, many nurses stated that they face significant problems while having empathetic interaction with patients at the beginning of their professional careers (14). Furthermore, some evidence has indicated a lack of empathy among health workers, especially nurses (8,15), so that factors including indifference, neglect (16), violence, and dehumanization have been reported as the symbols of the lack of empathy (4).…”

Section: Introductionmentioning

confidence: 99%

The Effect of Knowledge Brokering on Cardiac Nurses' Empathy With Their Patients: A Field Randomized Controlled Trial

Galehdarifard

Khademi

Gholami

et al. 2023

Preprint

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Background Although it has been reported that there is a relationship between empathetic behaviors and the reduction in cardiovascular events, some evidence revealed a lack of empathy among nurses. Accordingly, some interventions are required to be conducted for improving empathy among cardiac nurses. This study aimed to determine the effect of knowledge brokering on cardiac nurses' empathy with their patients. Methods This is a field randomized controlled trial conducted on a total of 100 cardiac nurses. Participants were assigned to two groups of control and intervention using stratified random allocation. In the intervention group, knowledge brokering was performed at seven stages, including personal assessment; horizon scanning; knowledge management; knowledge translation and exchange; network development, maintenance and facilitation; knowledge facilitation and skill development; and receiving the support of managers for individual changes. Data were collected using Empathy Construct Rating Scale (ECRS) and then analyzed using IBM SPSS Statistics for Windows, version 21 (IBM Corp., Armonk, N.Y., USA). The significance level was considered less than 0.05. The independent-samples t-test was utilized to compare the mean empathy scores before the intervention. The paired-samples t-test and the generalized linear model (with the identity link function) were respectively used to conduct the within- and between-group comparisons after the intervention. Results After the completion of the intervention, the mean changes of empathy score (± standard deviation) of empathy was shown to be 1.14 ± 27.73 in the control group (p = .773) and 11.02 ± 35.39 in the intervention group (p = .032). The difference in the mean changes of empathy score was significant between the two groups (p = .042). Conclusion Knowledge brokering can promote the level of empathy among cardiac nurses.

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“…Therefore, empathetic interaction between cardiac nurses and their patients is required for the management of patients' negative feelings. However, many nurses stated that they face significant problems while having empathetic interaction with patients at the beginning of their professional careers (Dikmen, Bayraktar, & Yılmaz, 2022). Furthermore, some evidence has indicated a lack of empathy among health workers, especially nurses (Hassankhani, Soheili, Dehgannezhad, & Powers, 2022;Winter et al, 2022), so that factors including indifference, neglect (T. Levett-Jones et al, 2017), violence, and dehumanization have been reported as the symbols of the lack of empathy (Tracy Levett-Jones et al, 2019).…”

Section: Introductionmentioning

confidence: 99%

The Effect of Knowledge Brokering on Cardiac Nurses' Empathy with Their Patients: A Field Randomized Controlled Trial

Galehdarifard,

Khademi,

Gholami

et al. 2023

Preprint

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Background Previous reports have suggested a relationship between empathetic behaviors and a reduction in cardiovascular events. However, evidence has also revealed a lack of empathy among nurses. Therefore, interventions are necessary to improve empathy among cardiac nurses. Purpose The objective of this study was to determine the effect of knowledge brokering on the empathy of cardiac nurses with their patients. Methods This field randomized controlled trial involved a total of 100 cardiac nurses who were divided into two groups: control and intervention. Participants were assigned to these groups using stratified random allocation. In the intervention group, knowledge brokering was conducted using Dobbin's seven-stage method. Data was collected using the Empathy Construct Rating Scale (ECRS), which provides an overall score ranging from +252 (well-developed empathy) to -252 (lack of empathy). The collected data was then analyzed using SPSS version 21, with a significance level set at < .05. The independent-samples t-test was used to compare mean empathy scores before the intervention, while the paired-samples t-test and the generalized linear model with an identity link function were utilized for within- and between-group comparisons after the intervention, respectively. Results The mean empathy change score (MECS) ± standard deviation was 22.90 ± 50.93 in the intervention group (p = .003) and 7.10 ± 60.20 in the control group (p = .408). The MECS between the study groups was compared based on the baseline empathy score (BES) (<100, ≥100). This comparison revealed that in nurses with BES ≥100, the adjusted MECS in the intervention group was significantly higher than the control group (11.44 units versus -15.42 units). Conversely, in nurses with BES <100, the adjusted MECS in the intervention group was lower than the control group (52.36 units versus 65.00 units). Conclusions The findings of this study indicate that the effectiveness of knowledge brokering in translating empathy knowledge depends on the BES of nurses. The utilization of this intervention can enhance empathetic behaviors in cardiac nurses with a BES ≥100. This empirical study contributes to a better understanding of knowledge brokering as a novel intervention.

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A qualitative study of medical-surgical intensive care unit nurses’ experiences in caring for critical patients

Cited by 3 publications

References 29 publications

Exploring nurses’ experiences of recommended patient care: a descriptive phenomenological study

Exploring nurses’ experiences of recommended patient care: a descriptive phenomenological study

The Effect of Knowledge Brokering on Cardiac Nurses' Empathy With Their Patients: A Field Randomized Controlled Trial

The Effect of Knowledge Brokering on Cardiac Nurses' Empathy with Their Patients: A Field Randomized Controlled Trial

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