Italian nurses’ perception of the avoidability of problems affecting older people with multiple chronic diseases

Saiani, Luisa; Viviani, Debora; Lenzi, E; Chissalè, Anna; Palese, Alvisa

doi:10.1111/j.1365-2702.2008.02576.x

Cited by 4 publications

(11 citation statements)

References 22 publications

(29 reference statements)

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…The 11 included studies (Table 3) were undertaken in Australia (Byrne et al, 2020; McNamara et al, 2017; Peart et al, 2019), the United Kingdom (O’Conner et al, 2018; O’Brien et al, 2011), Sweden (Grundberg et al, 2016; Karlsson & Karlsson, 2019), Canada (Heale et al, 2018; MacDonald et al, 2018), Italy (Saini et al, 2008) and New Zealand (Stokes et al, 2017). Nine papers were published in the period 2016–2019; two papers were published 2008–2011.…”

Section: Resultsmentioning

confidence: 99%

“…Methods used to analyse the qualitative data of the included studies included thematic analysis (Byrne et al, 2020; O’Brien et al, 2011; O’Conner et al, 2018; Stokes et al, 2017); content analysis (Grundberg et al, 2016; Karlsson & Karlsson, 2019; Saini et al, 2008); interpretive analysis (Heale et al, 2018); narrative analysis (MacDonald et al, 2018); constant comparison (McNamara et al, 2017) and interpretive phenomenological analysis (Peart et al, 2019).…”

Section: Resultsmentioning

confidence: 99%

“…Nurses constituted 78.7% (n = 219) of all participants, ranging from sample sizes of n = 3 to n = 84. Recruitment was undertaken using non‐probability sampling methods, including convenience sampling (Byrne et al, 2020; Grundberg et al, 2016; Heale et al, 2018; MacDonald et al, 2018; O’Connor et al, 2018); purposive sampling (McNamara et al, 2017; O’Brien et al, 2011; Peart et al, 2019; Saini et al, 2008; Stokes et al, 2017); and ‘snowballing’ (Grundberg et al, 2016; MacDonald et al, 2018). The sampling design of one study (Karlsson & Karlsson, 2019) could not be readily identified.…”

Section: Resultsmentioning

confidence: 99%

See 2 more Smart Citations

Nurses' perceptions and beliefs related to the care of adults living with multimorbidity: A systematic qualitative review

Whitehead

Palamara

Allen

et al. 2021

Journal of Clinical Nursing

View full text Add to dashboard Cite

Aims and objectives To identify and synthesise the available qualitative evidence on nurses’ perceptions and beliefs related to the care of adults living with multimorbidity. Background The rising prevalence of adults living with multimorbidity has increased demand for health care and challenges nursing care. No review has been conducted to date of the studies of nurses’ perceptions and beliefs related to the provision of care to guide policy makers, practitioners and further research to identify and deliver quality care for persons living with multimorbidity. Design Systematic review of qualitative studies conducted in line with the PRISMA checklist. Methodology Eight electronic publication databases and sources of grey literature were searched to identify original qualitative studies of the experience of nurses caring for adults with multiple chronic conditions with no restrictions on the date of publication or study context. Study quality was assessed using the Joanna Briggs Institute Critical Appraisal Checklist for Qualitative Research. Data were extracted using the Joanna Briggs Institute standardised data extraction tool for qualitative research. Data synthesis was undertaken through meta‐aggregation. Results Eleven qualitative studies were included in the review. All studies met eight or more of the 10 assessment criteria of the JBI Critical Appraisal Checklist for Qualitative Research. Four synthesised findings were generated from the aggregated findings: (i) the challenge of providing nursing care; (ii) the need to deliver holistic and person‐centred nursing care; (iii) the importance of developing a therapeutic nurse–patient relationship, and (iv) delivering nursing care as part of an interprofessional care team. Conclusions The complexity of multimorbidity and the predominant single‐disease model of chronic care present challenges for the delivery of nursing care to adults living with multimorbidity. Relevance to clinical practice The nursing care of persons with multimorbidity needs to incorporate holistic assessment and person‐centred care principles as part of a collaborative and interprofessional team approach. PROSPERO Registration CRD42020186773.

show abstract

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

See 1 more Smart Citation

Nurses' perceptions and beliefs related to the care of adults living with multimorbidity: A systematic qualitative review

Whitehead

Palamara

Allen

et al. 2021

Journal of Clinical Nursing

View full text Add to dashboard Cite

show abstract

“…Los estudios reportan como lo enfermeros en el domicilio buscan mejorar los procesos organizativos, la participación de los miembros de la familia y sus propias habilidades y sentido de propósito 23,24 . Presentando comportamientos de enfermería relacionados con las necesidades físicas y necesidades psicosociales del paciente.…”

Section: Discussionunclassified

Atención Domiciliaria y Pandemia Covid-19: Experiencia Desde Enfermería

2021

View full text Add to dashboard Cite

Introducción: La atención domiciliaria busca brindar unasolución a los problemas de salud en el domicilio con el apoyo deprofesionales, técnicos del área de la salud y la participación de lafamilia, en tiempos de pandemia por COVID-19 se deben ajustarlas dinámicas a este nuevo contexto Objetivo: Comprender elsignificado de la experiencia de enfermería brindando cuidadoen atención domiciliaria en época de pandemia. Materiales yMétodos: Estudio fenomenológico hermenéutico que incluyó a15 enfermeros que laboran en una institución de hospitalizacióndomiciliaria. Se realizaron entrevistas en profundidad, se analizóla información y se generaron las categorías que representan laexperiencia. Resultados: El análisis fenomenológico arrojó lassiguientes categorías existenciales. El distanciamiento socialun cambio en la cotidianidad, La prevención del contagio esresponsabilidad de todos y desafíos para el paciente y familiaen el domicilio. Conclusión: El personal de enfermería debe serresponsable del cumplimento de los protocolos de bioseguridady por el bien de ellos mismos, sus pacientes y familiares, el trabajoen equipo y la educación permanente con la escucha activa hacenque esta pandemia por la que atraviesa el mundo no deteriore elcuidado de los pacientes que requieren cuidado en los domicilios. Como citar este artículo: Blanco Caviedes Jeimmy. Henao-Castaño Angela Maria. Ovalle Garzon Martha. Atención Domiciliaria y Pandemia Covid-19: Experiencia Desde Enfermeria. Revista Cuidarte. 2021;12(2):e1980. http://dx.doi.org/10.15649/cuidarte.1980

show abstract

“…The marginalisation and exclusion of patient perspective in risk prevention discourses are argued to lead to a tolerance of lower standards or expectations for particular groups, such as older people at risk of pressure injury, people with learning disabilities (Tregelles, ) and those experiencing debilitating side effects from psychiatric medications (Wand, ). Foregrounding the notion of unavoidable risk of harm in nursing practice, Saiani, Viviani, Chissale, and Palese () reported that nurses perceived factors such as multiple disease interactions, refusal of care and limited monitoring of care provided in the community for older people with multiple long‐term health problems as unavoidable.…”

Section: A Critical Lens On the Concept Of Unavoidable Harmmentioning

confidence: 99%

Technical rationality and the decentring of patients and care delivery: A critique of ‘unavoidable’ in the context of patient harm

Hutchinson

Jackson²,

Wilson

2017

Nursing Inquiry

View full text Add to dashboard Cite

In recent decades, debate on the quality and safety of healthcare has been dominated by a measure and manage administrative rationality. More recently, this rationality has been overlaid by ideas from human factors, ergonomics and systems engineering. Little critical attention has been given in the nursing literature to how risk of harm is understood and actioned, or how patients can be subjectified and marginalised through these discourses. The problem of assuring safety for particular patient groups, and the dominance of technical forms of rationality, has seen the word 'unavoidable' used in connection with intractable forms of patient harm. Employing pressure injury policy as an exemplar, and critically reviewing notions of risk and unavoidable harm, we problematise the concept of unavoidable patient harm, highlighting how this dominant safety rationality risks perverse and taken-for-granted assumptions about patients, care processes and the nature of risk and harm. In this orthodoxy, those who specify or measure risk are positioned as having more insight into the nature of risk, compared to those who simply experience risk. Driven almost exclusively as a technical and administrative pursuit, the patient safety agenda risks decentring the focus from patients and patient care.

show abstract

Italian nurses’ perception of the avoidability of problems affecting older people with multiple chronic diseases

Cited by 4 publications

References 22 publications

Nurses' perceptions and beliefs related to the care of adults living with multimorbidity: A systematic qualitative review

Nurses' perceptions and beliefs related to the care of adults living with multimorbidity: A systematic qualitative review

Atención Domiciliaria y Pandemia Covid-19: Experiencia Desde Enfermería

Technical rationality and the decentring of patients and care delivery: A critique of ‘unavoidable’ in the context of patient harm

Contact Info

Product

Resources

About