Nurses’ experiences of unprofessional behaviors in the emergency department: A qualitative study

Hassankhani, Hadi; Rahmani, Azad; Mohammadi, Eesa; Lopez, Violeta; Cleary, Michelle

doi:10.1111/nhs.12386

Cited by 26 publications

(16 citation statements)

References 37 publications

(49 reference statements)

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“…High-quality emergency team collaboration can strengthen confidence in the team, help to decrease the incidence of errors, improve treatment outcomes in patients, and demonstrate efficacy in emergency resuscitation, which increases patient consultation and nursing staff job satisfaction [6]. Job satisfaction in emergency department staff does not arise only from salaries; affirmation and recognition from supervisors and peers is a more important source of job satisfaction [7].…”

Section: Introductionmentioning

confidence: 99%

The Experience of Emergency Nurses Caring for Patients with Mental Illness: A Qualitative Study

Chou

Tseng

2020

IJERPH

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Background: The medical burden of psychiatric disorders continues to increase and has caused a major impact on health, society, human rights, and economy in the world. Patients with mental illness have a higher ratio of emergency department visits than non-psychiatric patients. Psychiatric disorder-related emergency department care is a stress-causing factor in emergency department work. Therefore, the purpose of this study was to explore the experience of emergency department nurses in caring for patients with mental illness. Methods: A descriptive qualitative research design with purposive sampling was adopted. A total of 17 nurses working in the emergency department in central Taiwan were recruited. In-depth semi-structured interviews were conducted and thematic content analysis was performed. Results: Four themes and six sub-themes emerged that described the experiences of emergency nurse caring for patients with mental illness: (1) Mindset; (2) The predicament of psychiatric care: Violence and isolation and helplessness, and lack of therapeutic communication skills; (3) The influence of open space: insufficient safety and privacy; and (4) The educational needs of psychiatric nursing: improving cognition in psychiatric patients and changing negative thinking into positive thinking. Conclusions: The results revealed the experience of emergency nurses in caring for patients with mental illness. Emergency psychiatric nursing training related to foundational psychiatric knowledge, communication skill, concept of recovery, coping with violence restraining are needed for nurses who work in emergency departments.

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Section: Introductionmentioning

confidence: 99%

The Experience of Emergency Nurses Caring for Patients with Mental Illness: A Qualitative Study

Chou

Tseng

2020

IJERPH

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“…In this regard, the participants of a study indicated the importance of team work in providing care for patients, effective cooperation with each other, and their role in occupational and moral satisfaction. They also stated that team work is effective on the relationship between the team members (39).…”

Section: Discussionmentioning

confidence: 99%

Explaining of Nurses’ Perception of Professional Relationship in the Coronary Care Unit (CCU)

et al. 2020

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Considering that patients in the special units have critical conditions and require the best possible specialized care, having appropriate professional relationship in these units is of great importance. Taking care of patients under critical conditions requires occupational safety and sense of satisfaction in the nurses. Indeed, nursing managers should provide an appropriate organizational environment with emphasis on establishing an effective relationship. Aim and objective: Explaining nurses' perception of professional relationship in the coronary care unit. Materials and methods: The present study was a qualitative study conducted through conventional content analysis method. The participants were 37 nurses working in the coronary care unit who were selected purposively. Data were gathered through 25 in-depth interviews and 3 focus groups Results: After analyzing the data, the main theme of "ineffective relationship between the senior managers, head nurses, and the personnel of the coronary care unit" and two subthemes of "ineffective relationship between the head nurse and the personnel and "ineffective organizational environment" were extracted. Conclusions: The results of the present study provided an image of real experiences of participating nurses about the relationships that exist between different levels of nursing profession. so, by establishing a professional relationship in the coronary care unit, specialized cares would be performed. The main theme obtained in the study, "ineffective relationship between the managers, head nurses, and personnel of the coronary care unit" suggested different aspects of the outcomes of ineffective relationship between nurses, head nurses, and nursing managers. Therefore, it is necessary that professional relationships be improved at different levels of nursing and emphasized seriously.

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“…Furthermore, witnessing clinical nurses enacting unprofessional behaviors, such as reluctance to disclose safety issues (e.g. Parizad et al, ), might also have prevented the likelihood of students reporting safety issues that occurred during the practice. All these aspects suggest that a periodical reflection on what constitutes a PS incident, and how and when to report it (Espin & Meikle, ; Fagan et al, ) should be included in nursing degree programs.…”

Section: Discussionmentioning

confidence: 99%

Adverse events witnessed by nursing students during clinical learning experiences: Findings from a longitudinal study

Stevanin

Causero

Zanini

et al. 2018

Nursing & Health Sciences

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No evidence from any longitudinal study design has been reported to date with regard to patient safety (PS) incidents witnessed by nursing students during their training. Therefore, with the aim of closing this gap in available knowledge, a longitudinal study was performed from 2012 to 2015 by involving all nursing students (n = 145) enrolled in two Italian nursing programs. At the end of each academic year, students were invited to report in writing all PS incidents witnessed during their clinical learning experience; the number of days each student spent in their clinical setting was also collected from administrative records. Ninety students were included and 94 incidents were reported: 17 (18.1%) by first year students, 27 (28.7%) by second year students, and 50 (53.2%) by third year students. One third of students did not report any PS incident at the end of each academic year, while only a few reported more than one. The incidence density was 3.8/1000 days of clinical training without statistical differences across academic years. Supporting nursing students by encouraging them to share, discuss, and reflect on their clinical learning experience might increase their confidence in reporting safety incidents.

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Nurses’ experiences of unprofessional behaviors in the emergency department: A qualitative study

Cited by 26 publications

References 37 publications

The Experience of Emergency Nurses Caring for Patients with Mental Illness: A Qualitative Study

The Experience of Emergency Nurses Caring for Patients with Mental Illness: A Qualitative Study

Explaining of Nurses’ Perception of Professional Relationship in the Coronary Care Unit (CCU)

Adverse events witnessed by nursing students during clinical learning experiences: Findings from a longitudinal study

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