Awareness of Patient Physical Handling Issues Associated with Routine Nursing Care

Trešlová, Marie; Filausová, Drahomíra; Šedová, Lenka; Hajduchová, Hana

doi:10.3390/nursrep10020009

Cited by 3 publications

(4 citation statements)

References 27 publications

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“…Such empirical research would provide concrete evidence that justice and care reasoning is utilized during the moral conflicts of healthcare professionals, and contribute to the development of judgment and conflict resolution strategies using justice and care perspectives. Therefore, we focused on nurses who have professional roles and obligations [ 25 ], who provide close and continuous daily care to patients [ 26 ], and who have elements of justice and care perspectives. Nurses, including midwives, constitute more than half of the healthcare workforce in many countries and thus play an important role in healthcare [ 27 ].…”

Section: Introductionmentioning

confidence: 99%

Moral conflicts from the justice and care perspectives of japanese nurses: a qualitative content analysis

Tsunematsu,

Asai,

Kadooka

2023

BMC Med Ethics

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Background Healthcare professionals use the ethics of justice and care to construct moral reasoning. These ethics are conflicting in nature; different value systems and orders of justice and care are applied to the cause of actual moral conflict. We aim to clarify the structure and factors of healthcare professionals’ moral conflicts through the lens of justice and care to obtain suggestions for conflict resolutions. Method Semi-structured interviews about experiences of moral conflict were conducted with Japanese nurses recruited using the snowball sampling method. Interviews were conducted based on the real-life moral conflict and choice interview. Interviews were recorded and transcribed verbatim, then analyzed based on the interpretive method of data analysis. Verbatim transcripts were read four times, first to get an overall sense of the conflict, then to understand the person’s thoughts and actions that explain the conflict, and third and fourth to identify perspectives of justice and care, respectively. Each moral perspective was classified into categories according to Chally’s taxonomy. Results Among 31 responses, 2 that did not mention moral conflict were excluded, leaving 29 responses that were analyzed. These responses were classified into six cases with conflict between both justice and care perspectives or within one perspective, and into two cases without conflict between perspectives. The “rules” category of justice and the “welfare of others” category of care were included in many cases of conflict between two perspectives, and they frequently occurred in each perspective. Conclusions The nurses in this study suggest that they make moral judgments based on moral values that are intertwined with justice and care perspectives complex manner.Organizational, professional, and patient-related factors influenced conflicts between justice and care. Additionally, multiple overlapping loyalties created conflicts within justice perspectives, and multifaceted aspects of care-provider’s responsibility and patient need created conflicts within care. Decision-making biased towards one perspective can be distorted. It is important to consider ethical issues from both perspectives to resolve conflicts, especially the effective use of the ethics of care is recommended.

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Section: Introductionmentioning

confidence: 99%

Moral conflicts from the justice and care perspectives of japanese nurses: a qualitative content analysis

Tsunematsu,

Asai,

Kadooka

2023

BMC Med Ethics

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“…Pojawiają się coraz częściej dowody wskazujące na występowanie wśród studentów pielęgniarstwa problemów w ocenie stanu zdrowia pacjenta i skutecznym wykorzystywaniu tych umiejętności klinicznych, co skutkuje trudnościami w podejmowaniu trafnych interwencji pielęgniarskich [1,2]. Słabe umiejętności w zakresie badań fizykalnych (badanie bezpośrednie) i oceny stanu pacjenta za pomocą pomiaru pośredniego, stanowią godne uwagi zagrożenie dla bezpieczeństwa pacjentów, ponieważ mogą prowadzić do nieprawidłowych lub błędnych diagnoz, stanowiących podstawę do podejmowania interwencji pielęgniarskich w celu rozwiązania problemów towarzyszących pacjentom [3,4].…”

Section: Wprowadzenieunclassified

“…An increasing body of research indicates that nursing students have difficulties in assessing patients' health conditions and utilising clinical skills, which makes it difficult for them to provide accurate nursing interventions [1,2]. Insufficient skills in physical examination and indirect assessment of the patient's health condition constitute a major risk to patient safety, as these procedures can result in inaccurate or erroneous diagnoses that are the basis for nursing interventions aimed at addressing patients' issues [3,4].…”

Section: Introductionmentioning

confidence: 99%

Nursing students’ experiences with the “DiagNurse” mobile app to support clinical patient assessment – a pilot study

Ślusarska,

Chrzan-Rodak,

Jędrzejewska

et al. 2024

Pielegniarstwo XXI Wieku / Nursing in the 21st Century

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Aim. This study aimed to investigate how nursing students utilised the “DiagNurse” mobile app to assess patient health conditions during their clinical apprenticeships. Material and methods. This prospective, quasi-experimental post-test study included a convenience sample of 62 undergraduate nursing students. In the course of the work, they utilized paper-based measurement scales (first measurement) and the mobile app (second measurement) to assess patient health conditions during clinical practice. In total, 432 clinical condition assessments were performed on patients in the first measurement and 432 in the second measurement. Following the clinical assessment, two types of post-tests were employed to ascertain the usability of the mobile app: quantitative testing using the System Usability Scale and qualitative testing. Results. The mean SUS score was 80.2 (SD 15.67). The majority of the students agreed that the utilisation of the mobile app to assess a patient’s health condition is faster (M=3.21) and more convenient (M=3.16) than the use of paper-based scales and questionnaires. On a 0–10 scale, the study participants rated it as “highly recommended” (M=8.03) for fellow nursing students or practicing nurses. Conclusions. Although the “DiagNurse” mobile app was considered a suitable tool for learning clinical patient assessment, the students also proposed some improvements to the app’s design.

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“…Such empirical research would provide concrete evidence that justice and care reasoning is utilized during the moral con icts of healthcare professionals, and contribute to the development of judgment and con ict resolution strategies using justice and care perspectives. Therefore, we focused on nurses who have professional roles and obligations [23], who provide close and continuous daily care to patients [24], and who have elements of justice and care perspectives. Nurses, including midwives, constitute more than half of the healthcare workforce in many countries and thus play an important role in healthcare [25].…”

Section: Introductionmentioning

confidence: 99%

Moral conflicts from the justice and care perspectives of Japanese nurses: A qualitative content analysis

Tsunematsu

Asai

Kadooka

2022

Preprint

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Background: Healthcare professionals use the ethics of justice and care to construct moral reasoning. These ethics are conflicting in nature; different value systems and orders of justice and care are applied to the cause of actual moral conflict. We aim to clarify the structure and factors of healthcare professionals’ moral conflicts from the lens of justice and care to obtain suggestions for conflict resolutions. Method: Semi-structured interviews about experiences of moral conflict were conducted with Japanese nurses recruited using the snowball sampling method. Interviews were conducted based on the real-life moral conflict and choice interview. Interviews were recorded and transcribed verbatim, then analyzed based on the interpretive method of data analysis. Verbatim transcripts were read four times, first to get an overall sense of the conflict, then to understand the person's thoughts and actions that explain the conflict, and third and fourth to identify perspectives of justice and care, respectively. Each moral perspective was classified into categories according to Chally's taxonomy. Results: Among 31 responses, two that did not mention moral conflict were excluded, and 29 responses were analyzed. These responses were classified into six cases with conflict between both justice and care perspectives or within one perspective, and into two cases without conflict between perspectives. The “rules” category of justice and the “welfare of others” category of care were included in many cases of conflict between two perspectives, and they frequently occurred in each perspective. Conclusions: Moral conflicts are intertwined with justice and care perspectives in a complex manner because of the conflict between both perspectives, the conflict within the same perspective, and their overlap. Organizational, professional, and patient-related factors influenced conflicts between justice and care. Additionally, multiple overlapping loyalties created conflicts within justice perspectives, and multifaceted aspects of care-provider’s responsibility and patient need created conflicts within care. Decision-making biased towards one perspective can be distorted. It is important to consider ethical issues from both perspectives to resolve conflicts, especially the effective use of the ethics of care, is recommended.

show abstract

Awareness of Patient Physical Handling Issues Associated with Routine Nursing Care

Cited by 3 publications

References 27 publications

Moral conflicts from the justice and care perspectives of japanese nurses: a qualitative content analysis

Moral conflicts from the justice and care perspectives of japanese nurses: a qualitative content analysis

Nursing students’ experiences with the “DiagNurse” mobile app to support clinical patient assessment – a pilot study

Moral conflicts from the justice and care perspectives of Japanese nurses: A qualitative content analysis

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