Implantación de un proyecto de humanización en una Unidad de Cuidados Intensivos

Fuente-Martos, C. De La; Rojas-Amezcua, M.; Gómez-Espejo, M.R.; Lara-Aguayo, P.; Morán-Fernandez, E.; Aguilar-Alonso, Eduardo

doi:10.1016/j.medin.2017.08.002

Cited by 26 publications

(12 citation statements)

References 29 publications

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“…In line with the inadequate understanding of nurses and attendants roles, needs, and expectations, Martos et al in Spain indicated that professional performance in medicine and activity in intensive care improved communication not only among caregivers in that ward but also with caregivers in other wards of the hospital and patients and their families. Furthermore, patients and their families promoted caring motivation by caring tools and helped to promote humanistic care in the intensive care unit [4]. The results contradicted the ndings of the present study as a category "Lack of skills and willingness to interact and guide" between nurses and families in the intensive care unit.…”

Section: Discussioncontrasting

confidence: 99%

“…Determinants of Health Research Center, Lorestan University of Medical Sciences, Lorestan, Iran. 4 Intensive Care Unit, Bouali Hospital, Qazvin University of Medical Sciences, Qazvin, Iran.…”

Section: Declarationsmentioning

confidence: 99%

“…In contrast, dehumanization implies depersonalization, in which the illness treatment is viewed as the sole target of therapeutic care. A few out of many causes of dehumanization are the "dictatorship of technology", which ends in considering patients as "things", super-specialization, the application of economic value-based criteria to healthcare administration, and the refutation of the idea that the endurance and death of patients can affect relatives and experts equally [4].…”

Section: Introductionmentioning

confidence: 99%

“…Humanism in health care is not an ideology, but it is related to the individuals' interactions and their lifestyles, and includes the moral quality and commitment that individuals consider as a whole [4]. Therefore, it is necessary to pay attention to the fact that humanism cannot be in the form of law, but must be built in the culture of the ICUs [10].…”

Section: Introductionmentioning

confidence: 99%

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Humanistic Care in the Intensive Care Unit: A Qualitative Study

Hasandoost

Mohammadi²,

Khademi

et al. 2020

Preprint

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Background: Nurses working in intensive care units do their main part of the job using medical equipment. Nursing scholars have raised concerns about the decline and lack of attention to humanistic care in nursing. One of the threatening factors can be the high attention of nurses to the use of technology, especially in intensive care. Up to now, there has been little investigation of the nurses' perceptions of this phenomenon. The aim of the study was, therefore, to explore the perceptions of nurses and attendants of humanistic care in the intensive care unit.Methods: The present study was a qualitative conventional content analysis (COREQ guidelines) conducted in. an intensive care unit in a hospital in Qazvin, Iran, in 2019. Data was collected using unstructured interviews and field notes and then analyzed using the Elo-Kyngäs method in 2008. Findings: Continuous and comparative analysis of the data led to the extraction of 4 main themes as follows: 1) Insufficient understanding of nurses and patients’ families of each other's roles, needs, and expectations; 2) The use of personal and situational reasoning rather than ethical principles; 3) Caring stagnation, and 4) Satisfaction with care.Conclusion: The findings of the study indicated that due to insufficient equipment, high workloads, and anxieties, nurses and attendants might not be able to understand each other’s roles and expectations. If it is not resolved properly, this situation will end in conflicts and stagnation in healthcare. Patients admitted to an intensive care unit are usually in critical health conditions. However, nurses feel satisfied with the outcome of their jobs when those patients are discharged from the hospital with a stable health condition. Shedding more light on the humanistic care status in intensive care units in Iran, the results of this research can be applied to health professionals and nursing managers.

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Section: Discussioncontrasting

confidence: 99%

Section: Declarationsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Humanistic Care in the Intensive Care Unit: A Qualitative Study

Hasandoost

Mohammadi²,

Khademi

et al. 2020

Preprint

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“…Empathy facilitates team work and patient-centered care given by healthcare professionals [24,25] and is related to subjective wellbeing [32]. Some studies have emphasized the value of empathy in humanized care [33][34][35][36][37][38], especially cognitive empathy, which has been established as a variable directly involved in humanization of care in nursing [39]. It also has an important role in reducing exhaustion [40][41][42], improving the wellbeing of healthcare professionals [43].…”

Section: Empathy and Prosocial Behavior In Nurses: Relationship With mentioning

confidence: 99%

Moral Sensitivity, Empathy and Prosocial Behavior: Implications for Humanization of Nursing Care

Galdames

Fuentes

Jurado

et al. 2020

IJERPH

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Humanization of nursing is related to certain social and moral variables. Moral sensitivity, empathy, and prosocial behavior help understand a situation and make decisions that benefit the patient. The objective of this study is to find out how these variables are related, and define the differences in moral sensitivity, empathy, and prosocial behavior in humanization of nursing. We also analyzed the mediating role of empathy in the relationship between moral sensitivity and prosocial behavior. The sample was made up of 330 Spanish nurses aged 22 to 56, who completed the HUMAS Scale and adapted versions of the Basic Empathy Scale, the Moral Sensitivity Questionnaire, and the Prosocial Behavior Scale. Descriptive analyses, bivariate correlations and multiple mediation models were calculated. The results found significantly different mean scores between all the groups in responsibility and moral strength, cognitive empathy, and prosocial behavior, and in moral burden, the differences were in the high-humanization-score group compared to the low-score group. Furthermore, the mediation models showed the mediating effect of cognitive empathy between the responsibility, strength, and moral burden factors on prosocial behavior, but not of affective empathy. The study concluded that humanization in nursing is closely related to moral sensitivity, cognitive empathy, and prosocial behavior. This facilitates a helping, caring, and understanding attitude toward patient needs, but without the affective flooding that affective empathy can lead to.

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Paradoxical perception of humanistic care in the intensive care unit: A qualitative study

et al. 2022

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Aim The aim of this study was to explore the perceptions of nurses, patients and attendants of humanistic care in the intensive care unit. Design The present study was a qualitative conventional content analysis conducted in the intensive care unit in a hospital in Iran, in 2019. Methods Data were collected using semi‐structured interviews and field notes through purposive sampling with 17 nurses who worked in an adult ICU in a teaching hospital, 4 attendants and 4 alert patients, and then analysed using the Elo‐Kyngäs method in 2008. Results Analysis of the data led to the extraction of Four main themes as follows: (1) Insufficient understanding of nurses and patients' families of each other's roles, needs and expectations; (2) The use of personal and situational reasoning rather than ethical principles; (3) Caring stagnation; and (4) Satisfaction with care.

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Implantación de un proyecto de humanización en una Unidad de Cuidados Intensivos

Cited by 26 publications

References 29 publications

Humanistic Care in the Intensive Care Unit: A Qualitative Study

Humanistic Care in the Intensive Care Unit: A Qualitative Study

Moral Sensitivity, Empathy and Prosocial Behavior: Implications for Humanization of Nursing Care

Paradoxical perception of humanistic care in the intensive care unit: A qualitative study

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