Humanization of critical care—psychological effects on healthcare professionals and relatives: a systematic review

Galvin, I.; Leitch, Jordan; Gill, Rosalind; Poser, Katherine; McKeown, Sandra

doi:10.1007/s12630-018-1227-7

Cited by 24 publications

(27 citation statements)

References 80 publications

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“…The World Health Organization [WHO] (2015) defines humanization in nursing as a process of communication and mutual support between individuals, directed at transformation and understanding of the essential spirit of life. From the viewpoint of intervention in health, a recent systematic review on humanization-based intervention showed it to have substantial potential for increasing physical and emotional closeness between patient and healthcare professionals or between patients and their families (Galvin et al, 2018). From a psychological perspective, humanization refers to a style of interpersonal relations in which several psychological processes intervene, materialized in the acquisition of personal competencies (Pérez-Fuentes et al, 2019b).…”

Section: Emotional Competency and The Healthcare Humanization Constructmentioning

confidence: 99%

A Cross-Sectional Study of Empathy and Emotion Management: Key to a Work Environment for Humanized Care in Nursing

et al. 2020

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Introduction: At the present time, technological advances have increased the technification of healthcare services, in which high priority is given to efficiency and results achieved, leading healthcare personnel to prioritize administrative and procedural aspects to the detriment of humanization of care and the work environment. Objective: This study was intended to continue progress in research on the work environment based on the humanization construct by analyzing the explanatory value of emotional intelligence and empathy in nursing personnel. Materials and Methods: The study was quantitative, observational, and crosssectional. The sample was made up of 338 Spanish nurses with a mean age of 32.20 (SD = 7.54; range 22-56). The instruments employed for analysis were the Healthcare Professional Humanization Scale (HUMAS), Brief Emotional Intelligence Inventory for Adults, and Basic Empathy Scale (BES). Results: Mood and stress management-both emotional intelligence componentsand cognitive empathy explained over half (51%) of the variability found in humanization of care in a sample of nurses. Furthermore, the mediation models proposed emphasized the mediating role of cognitive empathy in stress management and improvement in mood and its relationship to humanization. Conclusion: It is recommended that healthcare professionals reinforce their personal competencies in order to tend to the needs of their patients empathetically and improve emotional competencies for coping successfully with potentially stressful situations.

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Section: Emotional Competency and The Healthcare Humanization Constructmentioning

confidence: 99%

A Cross-Sectional Study of Empathy and Emotion Management: Key to a Work Environment for Humanized Care in Nursing

et al. 2020

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“…A recent systematic review21 focused on the effect of humanised care of critically ill patients on empathy among healthcare professionals, anxiety among relatives and burnout and compassion fatigue in both groups, Galvin et al identified 12 studies addressing 4 interventions (liberal visitation, diaries, family participation in basic care and witnessed resuscitation) and 1 mixed intervention. Of 12 studies, 11 were at high risk of bias, 10 measured anxiety among 1055 relatives, 2 measured burnout in 288 ICU professionals and none addressed empathy or compassion fatigue.…”

Section: Discussionmentioning

confidence: 99%

Fostering humanism: a mixed methods evaluation of the Footprints Project in critical care

et al. 2019

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ObjectivesThe objectives of this mixed-methods study were to assess the uptake, sustainability and influence of the Footprints Project.SettingTwenty-two-bed university-affiliated ICU in Hamilton, Canada.ParticipantsICU patients admitted and their families, as well as clinicians.InterventionsWe developed a personalised patient Footprints Form and Whiteboard to facilitate holistic, patient-centred care, to inform clinical encounters, and to create deeper connections among patients, families and clinicians.Outcome measuresWe conducted 3 audits to examine uptake and sustainability. We conducted semi-structured interviews with 10 clinicians, and held 5 focus groups with 25 clinicians; and we interviewed 5 patients and 13 family representatives of 5 patients who survived and 5 who died in the ICU. Transcripts were analysed using qualitative content analysis.ResultsThe Footprints Project facilitated holistic, patient-centred care by setting the stage for patient and family experience, motivating the patient and humanising the patient for clinicians. Through informing clinical encounters, Footprints helped clinicians initiate more personal conversations, foster deeper connections and guide treatment. Professional practice influences included more focused attention on the patient, enhanced interdisciplinary communication and changes in community culture. Initially used in 15.8% of patients (audit A), uptake increased to 51.4% in audit B, and was sustained at 57.8% in audit C.ConclusionsBy sharing valuable personal information about patients before and beyond their illness on individualised whiteboards at each bedside, the Footprints Project fosters humanism in critical care practice.

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“…Health-care providers’ well-being and mental health have received an increasing amount of attention in the last few decades [ 1 – 4 ]. Evidence indicates that different categories of human-care professionals (e.g., physicians and nurses) are at risk for stress-related pathology and poor well-being [ 5 , 6 ].…”

Section: Introductionmentioning

confidence: 99%

Exposure to animal suffering, adult attachment styles, and professional quality of life in a sample of Italian veterinarians

Musetti

Schianchi²,

Caricati

et al. 2020

PLoS ONE

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Contextual and individual risk factors of veterinarians' professional quality of life are being debated. Research suggests that attachment styles are relevant predictors of professional quality of life; however, their role in work-related well-being of veterinarians is yet to be ascertained. In the present study, self-report measures on exposure to animal suffering, adult attachment styles, and professional quality of life were administered to 1,445 Italian veterinarians (70% females) aged 24 to 74 years old; sociodemographic information and information on workload were also collected. Female gender, higher levels of ordinary workload, on-call hours per week, exposure to animal suffering, together with fearful and preoccupied attachment styles were significantly associated with lower levels of veterinarians' quality of life. This suggests that work-related factors may combine with individual psychological features in promoting or disadvantaging the professional quality of life of veterinarians. Implications of these findings for promoting veterinarians' quality of life and directions for future research are discussed.

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Humanization of critical care—psychological effects on healthcare professionals and relatives: a systematic review

Abstract: Purpose To systematically review and evaluate the effects of humanized care of the critically ill on empathy among healthcare professionals, anxiety among relatives, and burnout and compassion fatigue in both groups.

Cited by 24 publications

References 80 publications

A Cross-Sectional Study of Empathy and Emotion Management: Key to a Work Environment for Humanized Care in Nursing

A Cross-Sectional Study of Empathy and Emotion Management: Key to a Work Environment for Humanized Care in Nursing

Fostering humanism: a mixed methods evaluation of the Footprints Project in critical care

Exposure to animal suffering, adult attachment styles, and professional quality of life in a sample of Italian veterinarians

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