The effect of the humanistic care teaching model on nurse patient conflict and nurse turnover intention in a pediatric outpatient department: results of a randomized trial

Zhong, Xiaoli; Liu, Xiuzhi; Sheng, Yan

doi:10.21037/tp-21-214

Cited by 11 publications

(11 citation statements)

References 24 publications

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“…We believe that poor specialized training in the Brazilian context combined with nursing shortage may contribute to the lack of ethical and moral awareness in conflicting situations. The literature shows the potential benefit of a care training model to improve pediatric nurses’ professional identity and problem-solving ability for dealing with nurse-patient conflicts 24 …”

Section: Discussionmentioning

confidence: 99%

Ethical and Moral Conflicts in the Nursing Care of Pediatric Patients With Cancer and Their Families

et al. 2022

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BackgroundPediatric oncology nurses encounter ethical and moral dilemmas when providing comprehensive care to pediatric patients with cancer and their families.ObjectiveThe aim of this study was to explore ethical and moral conflicts arising in the field of pediatric oncology from the perspective of nursing professionals.MethodThis qualitative secondary analysis was conducted with 10 nursing professionals from a pediatric cancer hospital through semistructured interviews and analyzed using thematic data analysis.ResultsTwo themes emerged: (1) living with conflicts intrinsic to the relationships, which describes multiple sources of conflict in the relationships of nursing professionals with the team, with the family, and with seriously ill children, summarizing trigger-sensitive topics to be addressed for its mediation; (2) developing moral resilience, which represents how nurses reframe the conflicts and make use of strategies to avoid being personally harmful.ConclusionsThe results highlight the challenging work environment of pediatric oncology, recognizing the multiple natures of sensitive topics to nursing professionals during clinical decision making and the incipient strategies in dealing with ethical and moral conflicts.Implications for PracticeThis study reveals self-reflection and intuitive strategies as protective factors, which could be applied as a step to support nurses encountering ethical and moral conflicts in pediatric oncology daily practice. Furthermore, because of the limited support services for nursing professionals, it is necessary to foresee institutional policies to embrace the development of moral resilience.

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Section: Discussionmentioning

confidence: 99%

Ethical and Moral Conflicts in the Nursing Care of Pediatric Patients With Cancer and Their Families

et al. 2022

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“…36 In addition, nurses' strong sense of responsibility, noble moral sentiment and persistent professional pursuit are important guarantees for respecting patients and realizing humanistic nursing. 37,38 That many factors affect ICU nurses' cognition on humanistic care is worth noting. 39,40 Hospital nursing managers should strengthen the understanding and education of ICU nurses' humanistic care to continuously improve their awareness of humanistic care.…”

Section: "Havens" As the Corementioning

confidence: 99%

Framework of humanistic care for patients in the ICU: A preliminary study

Zhang

et al. 2022

Nursing in Critical Care

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BackgroundHumanistic care involves caring, concern, paying attention to people's individuality, meeting their needs and respecting their rights, which is the core concept and central task of nursing. Effective care can enhance patients’ ability to deal with stress and promote patient recovery. Implementing humanistic care in the intensive care unit (ICU) is particularly important for health care providers.Aims and objectivesThis study aims to develop a framework of the humanistic care in the ICU.DesignThe qualitative research followed Strauss' procedural grounded theory approach.MethodsPurposive sampling and theoretical sampling were used to select 12 nurses in the Department of Critical Medicine, 16 patients, and eight family members for semi‐structured interviews from October 2020 to April 2021. Results were summarized and analysed through three‐level coding based on grounded principles.ResultsSixteen subcategories and six main categories were extracted after three‐level coding, and the final ICU humanistic care framework was formed with home, activity, visit, environment, nursing and safety (“HAVENS”) as the core.ConclusionThis study provides an explanatory theory of humanistic care in the ICU that can guide nurses' practice in ICU clinical work.Relevance to clinical practiceThis theory provides guidance for nurses to implement humanistic care in critical care practice to improve the ICU stay experience of critically ill patients.

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“…The implementation of caring in clinical practice can not only benefit patients' physical and mental health [4], but also improve nurse-patient relationships and enhance patients' satisfaction [5]. Nurses who are trained in caring display greater problem-solving skills [6], are more satisfied in their jobs [4], and have a stronger sense of professional identity [6].…”

Section: Introductionmentioning

confidence: 99%

The mediating effect of critical thinking between interest in learning and caring among nursing students: a cross-sectional study

Tong

et al. 2023

BMC Nurs

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Background Previous studies have explored the influence of interest in learning on caring and critical thinking, as well as the relationship between caring and critical thinking. However, the mediating effect of critical thinking in interest learning and caring among nursing students has not been clarified. Methods Nursing students who enrolled for the 2021/2022 academic year in diploma, undergraduate, or graduate programs in five provinces of China (Guangdong, Sichuan, Jiangsu, Hunan and Macao). An online survey with a convenience sampling method was employed to collect data. The questionnaires were administered to 692 participants between January 20 and 26, 2022. Amos 26.0 was employed to establish the structural equation modelling and analyze the mediating effect of critical thinking on interest in learning and caring. Results The first regression equation showed that interest in learning significantly influenced caring (β = 0.339, p < 0.001). The third regression equation showed that critical thinking significantly influenced caring (β = 0.494, p < 0.001). The effect of interest in learning on caring was less in the third equation than in the first equation (β = 0.154 vs β = 0.339), which indicates partial mediation. Furthermore, interest in learning had an indirect positive effect (β = 0.186, p < 0.001) on caring mediated by critical thinking, with 95% confidence interval of 0.142 to 0.233. Conclusions Critical thinking was a significant mediator of the relationship between interest in learning and caring. It is suggested that nursing colleges and instructors should take into account students’ interest in learning and critical thinking as potential intervention elements to enhance caring.

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The effect of the humanistic care teaching model on nurse patient conflict and nurse turnover intention in a pediatric outpatient department: results of a randomized trial

Cited by 11 publications

References 24 publications

Ethical and Moral Conflicts in the Nursing Care of Pediatric Patients With Cancer and Their Families

Ethical and Moral Conflicts in the Nursing Care of Pediatric Patients With Cancer and Their Families

Framework of humanistic care for patients in the ICU: A preliminary study

The mediating effect of critical thinking between interest in learning and caring among nursing students: a cross-sectional study

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