Revistas
Autores:
Wilson, D. M. (Autor de correspondencia); Underwood, L.; Kim, S.; et al.
Revista:
NURSING OUTLOOK
ISSN 0029-6554
Vol. 70
N° 1
Año 2022
Págs.55 - 63
Background
Nurses' political engagement is needed for societal advancements.
Purpose
The purpose of this study was to explain why and how nurses became politically active, and what they achieved.
Methods
Qualitative, constant-comparative data analysis was used for this study. After 10 elected or politically-active Canadian nurses were interviewed, data saturation was confirmed.
Findings
All were motivated by early life events to realize the importance of social justice and good government. Their nursing education and work equipped them to be capable of engaging in political spheres. All had developed knowledge of relevance for political purposes; in addition to confidence, communication skills, and other abilities to be effective politically. All highlighted the importance of being encouraged and assisted to engage politically. Positive micro-, meso-, and macro-level benefits of this involvement were identified.
Conclusions
More nurses should be inspired and helped to become active politically.
It is critically important for nurses to inform and advance public policy, through direct political activities.
Revista:
OMEGA: JOURNAL OF DEATH AND DYING
ISSN 0030-2228
Vol. 83
N° 4
Año 2021
Págs.831 - 858
A review of all 44 research reports published between 2000 and 2018 on bereavement program evaluation was undertaken to identify evaluation methods and assess their apparent efficacy. Bereavement program evaluations varied considerably, with multiple data collection methods per study common (61.4%) over single methods (38.6%). Among these evaluation methods, a self-devised questionnaire was most often used (59.1%), followed by qualitative interviewing (36.4%), and the use of 1 or more of 35 data collection instruments such as grief inventories or depression scales (40.9%). Evaluative data were usually only collected once (77.3%), typically around program completion. Formal bereavement program evaluation appears to be ad hoc and sporadic, and potentially unlikely to provide the type and quality of information needed to retain, improve, expand, or abandon programs. Evaluation method developments including evaluation standards are needed to ensure recipients and others benefit as expected from bereavement programs.
Autores:
Wilson, D. M. (Autor de correspondencia); Anafi, F.; Roh, S. J.; et al.
Revista:
HEALTH COMMUNICATION
ISSN 1041-0236
Vol. 36
N° 13
Año 2021
Págs.1616 - 1622
When someone is terminally ill, it is often a very stressful time for the dying person and their family. It would not be unusual for intra-family conflict, involving one or more family members and even the dying person, to occur. However, this type of conflict has not been identified as an end-of-life issue needing to be noticed and addressed or prevented when possible. This lack of attention could be because it is not known how common or how impactful this type of conflict is. A scoping research literature review was conducted for available 2004-2019 evidence on the incidence or prevalence of intra-family conflict, factors contributing to it or causing it, and the outcomes or impact of it. A search for published peer-review articles identified 18 research reports for a scoping review. The 18 studies, all conducted in developed countries, revealed intra-family conflict is often present; and with a range of harmful effects for the dying person, the family as a whole or individual family members, and other persons and organizations. The identified factors contributing to or predisposing intra-family conflict were grouped into three categories: (a) family disagreements over curative treatment and/or end-of-life care and decisions, (b) previous family conflict and other family dynamic matters, and (c) the dying process itself. The evidence identified through this scoping review, although relatively minimal, should be useful for planning future research and for [...]
Revista:
SOCIAL SCIENCE AND MEDICINE
ISSN 0277-9536
Vol. 282
Año 2021
Grief is understandably severe in the first days, if not weeks or months, following the death of a beloved person. Unless the mourner develops complicated grief, which is prolonged severe and impactful grief, the initial acute grief lessens in severity over time, although waves of significant grief will still occur with grief triggers. A scoping research literature review was undertaken in early 2021 to determine how often grief triggers occur, what the most common grief triggers are, the impact of triggered grief, and what can be done (by those not diagnosed with complicated grief) to manage grief triggers and mitigate the effect of them. Nine academic library databases were searched for English-language research reports using the keywords "grief trigger(s)" and "research": CINAHL, Directory of Open Access (online) Journals, Humanities Index, JSTOR, Medline (Ovid), Periodicals Index Online, PsychArticles, Scopus, and Web of Science. Six research papers relevant for review were published in the last two decades, with some evidence gained on how often grief triggers occur, what constitutes a grief trigger, and the impact of grief triggers. Major gaps in evidence were revealed, despite grief triggers being identified as a major consideration for grief in general and for grief recovery specifically.
Revista:
EVALUATION AND PROGRAM PLANNING
ISSN 0149-7189
Vol. 89
Año 2021
Págs.101987
A study of the bereavement programs provided by hospices in Ireland and the Canadian province of Alberta was done to determine if and how these are evaluated for efficacy. All but one hospice offered multiple different bereavement programs, with routine in-house evaluations of all programs performed. In all cases, staff and client unsolicited and solicited comments made during and at the end of each program provided data for continuing program refinement. Most hospices also routinely employed a self-devised questionnaire to gain specific sought information to retain or change programs. Other information, including news about program developments elsewhere, was also actively sought for program adoption or for the improvement of existing programs. With most bereavement programs having been in place for many years, participants were confident their programs are needed, safe, and effective. Their continuing quest for high-quality programming, however, meant they were active in monitoring these programs and in seeking developments in this field.
Revista:
NURSE EDUCATION IN PRACTICE
ISSN 1471-5953
Vol. 50
Año 2021
Págs.102963
Nurses' continuing professional development (CPD) improves the quality of nursing care, patients' safety, nurses' satisfaction and healthcare costs. However, evidence has shown that nurses do not always participate in their CPD and that CPD does not always address nurses' real needs. To examine this issue, a systematic review of the literature on nurses' experiences regarding their CPD in the clinical context was carried out. The studies selected for this review (n = 9) were analyzed thematically, through which three themes were identified: The relevance of CPD to nurses; the intrinsic and extrinsic motivations of nurses to participate in CPD; and the specific needs of nurses to participate in CPD. The findings of this review highlight that nurses' experiences regarding their CPD is a key issue that has not been deeply studied. For nurses, their CPD continues throughout their professional career, and keeping their knowledge and skills up to date is important. The goals, motivations and needs that nurses may have to lead and participate in their CPD may vary according to their age and position. Organizations should consider nurses' specific professional situation as well as their actual needs to boost their CPD through different approaches and enhance nurses¿ retention at hospitals.
Autores:
Wilson, D. M. (Autor de correspondencia); Anafi, F.; Kusi-Appiah, E.; et al.
Revista:
APPLIED NURSING RESEARCH
ISSN 0897-1897
Vol. 54
Año 2020
Págs.151279
Background: There is much current as well as long-standing concern that nurses need to be more involved in and also more adept at politics and political action for the advancement of the profession, and for the health and wellbeing of the public. Objectives: An historical scoping literature review was carried out to identify if, as well as why, when, and how nurses become involved in government or meso-level political action or politics, and what is or has been gained through this involvement. Design: Scoping literature review. Settings (including geographical location): Worldwide published literature. Participant: Nil. Methods: Research and non-research articles on the topic were identified in a decade-by-decade search of the CINAHL database, all relevant ones were retained, and the per-decade findings in them were compared over time. Results: Only 25 research reports, published 1988-2019, were identified. These studies were conducted in a few, mostly developed, countries. They provide a varied picture of nurse or nursing association involvement in political action and policy circles. In contrast, the opinion and theory articles demonstrate increased nurse and nursing association involvement in, as well as rising skill in political action and public policy engagement, although primarily in the United States and Canada. Conclusions: Research and case reports are needed now in all countries to correct the view that nurses and nursing associations are apolitical, and to gain in
Revista:
INTERNATIONAL JOURNAL OF OLDER PEOPLE NURSING (ONLINE)
ISSN 1748-3743
Vol. 15
N° 3
Año 2020
Págs.e12313
Revista:
NURSE EDUCATION TODAY
ISSN 0260-6917
Vol. 87
Año 2020
Págs.104360
Background: Clinical narratives may be used as a means to improve the acquisition of clinical competences. Even though there are studies that recognize the potential value of clinical narratives to promote nursing professional development, there is no evidence that shows their value as a tool to improve nurses' competences to provide person-centred nursing care.
Purpose: To evaluate the preliminary efficacy of narratives for the development of three nursing professional competences -respect, intentional presence and knowing the person- for providing person-centred care.
Method: Using a pre-post quasi-experimental design, a pilot study with a total of 34 nurses enrolled in a training course of nursing specialization was conducted between September 2016 and June 2017. All the nurses received a multi-component intervention based on the Critical Reflective Inquiry model. The strategies of this programme consisted of writing three narratives, attending two masterclasses, participating in a discussion group, and participating in a face-to-face interview. The NarratUN Evaluation tool was used to assess the outcomes. Changes among nurses were analysed using the Wilcoxon signed Rank test.
Results: The difference in the means between the pre- and post-intervention scores were statistically significant for respect [0.59 (95% CI 0.23-0.95; p = 0.001)], intentional presence [0.75 (95% CI 0.32-1.17; p < 0.0001)] and knowing the person [0.62 (95% CI 0.25-0.99; p = 0.001)]. The difference in the mean score for use of the narrative and reflection also increased significantly [0.65 (95% CI 0.32-0.98, p < 0.001)].
Conclusions: The use of narratives combined with other reflective strategies (masterclass sessions and discussion groups) proved to be effective for the development of professional competences of nurses.
Revista:
INTERNATIONAL JOURNAL OF QUALITATIVE METHODS
ISSN 1609-4069
Vol. 19
N° 1
Año 2020
Págs.62
Revista:
INTERNATIONAL JOURNAL OF QUALITATIVE METHODS
ISSN 1609-4069
Vol. 19
N° 1
Año 2020
Págs.65
Revista:
INTERNATIONAL PRACTICE DEVELOPMENT JOURNAL
ISSN 2046-9292
Vol. 2
N° 9
Año 2019
Págs.1 - 8
Background: Registered nurses are increasingly expected to provide person-centred end-of-life care. However, there is a gap between patients¿ needs and the capacity of nurses to meet the existing recommendations on provision of this care. Identifying the relevant barriers and facilitators can inform the development of strategies to support person-centred nursing.
Aim: To identify registered nurses¿ perceived barriers and facilitators in terms of providing person-centred end-of-life care.
Method: A scoping review was conducted according to the 2005 guidelines proposed by Arksey and O`Malley. The databases Medline, CINAHL, PsycINFO, Cochrane, Web of Science and Embase were searched using the period 2000 to 2018. Empirical studies, literature reviews and studies focusing on the experiences of generalist nurses providing end-of-life care were included. The selected articles were independently reviewed by two researchers.
Results: A total of 2,126 publications were identified, with 26 retained after applying the eligibility criteria. Four barriers to providing person-centred care were identified: knowledge of end-of-life care; communication skills; coping strategies; and teamwork. Three main facilitators were identified: knowing the person in a holistic way; nurses¿ self-knowledge; and the development of a good nurse-person relationship. Organisational and managerial support also emerged to be important. These findings are reflected in the construct of McCormack and McCance¿s
Revista:
AGEING RESEARCH REVIEWS
ISSN 1568-1637
Vol. 51
Año 2019
Págs.78 - 84
Population ageing is escalating rapidly now worldwide. This is an important time to determine if ageism or discrimination against older people is of concern, such as it being prevalent and/or increasing in prevalence. Over the years, many ageism measurement tools have been developed, with research findings from their use of prime consideration then for determining the prevalence of ageism and any prevalence trends. All print and open access English-language research articles published in 1953+ that used one or more ageism measurement tools in a study were sought using the Directory of Open Access Journals and EBSCO Discovery Service. A total of 25 ageism measurement tools were identified. However, only six had been used one or more times to measure the prevalence of ageism. The identified prevalence levels varied considerably, but most investigations using small convenience samples, with limited generalizability of findings. This paper highlights the need to continue developing ageism measurement tools to estimate ageism or use other measures, such as census and population representative polling, to assess the extent and impact of ageism. This foundational measurement is needed, as ageism could be prevalent and growing in effect.
Revista:
NURSING INQUIRY
ISSN 1320-7881
Vol. 26
N° 1
Año 2019
Págs.e12259
Phenomenology of practice is a useful, rigorous way of deeply understanding human phenomena. Therefore, it allows research to be conducted into nursing's most sensitive and decisive aspects. While it is a widely used research approach and methodology in nursing, it is seldom addressed and made use of in its practical and applied value. This article aimed to approach the global outlook of van Manen's hermeneutic¿phenomenological method to better understand its theoretical background and to address and support the contribution this method can make to nursing, if rigorously applied. For a professional discipline like nursing, van Manen's approach is especially interesting because, in addition to contributing to the body of knowledge of nursing, it provides a special kind of knowledge that allows nurses to act in a more reflective manner, and with tact and skill, in certain situations and relationships that arise in their daily practice. A more in¿depth understanding of this research methodology may help nurse¿researchers make good use of it and also harness knowledge derived from this type of research. This comes as a result of assuming that phenomenological texts, the final product of the research, have tremendous educational potential for people who read them carefully
Revista:
JOURNAL OF ADVANCED NURSING
ISSN 0309-2402
Vol. 74
N° 7
Año 2018
Págs.1723 - 1734
Aims
To offer a complete outlook in a readable easy way of van Manen's hermeneutic¿phenomenological method to nurses interested in undertaking phenomenological research.
Background
Phenomenology, as research methodology, involves a certain degree of complexity. It is difficult to identify a single article or author which sets out the didactic guidelines that specifically guide research of this kind. In this context, the theoretical¿practical view of Max van Manen's Phenomenology of Practice may be seen as a rigorous guide and directive on which researchers may find support to undertake phenomenological research.
Design
Discussion paper.
Data sources
This discussion paper is based on our own experiences and supported by literature and theory. Our central sources of data have been the books and writings of Max van Manen and his website ¿Phenomenologyonline¿.
Implications for nursing
The principal methods of the hermeneutic¿phenomenological method are addressed and explained providing an enriching overview of phenomenology of practice. A proposal is made for the way the suggestions made by van Manen might be organized for use with the methods involved in Phenomenology of Practice: Social sciences, philosophical and philological methods. Thereby, nurse researchers interested in conducting phenomenological research may find a global outlook and support to understand and conduct this type of inquiry which draws on the art.
Revista:
SOCIETIES
ISSN 2075-4698
Vol. 8
N° 4
Año 2018
Págs.112
Background: Concern has existed for many years about the extensive use of hospitals by dying persons. In recent years, however, a potential shift out of hospital has been noticed in a number of developed countries, including Canada. In Canada, where high hospital occupancy rates and corresponding long waits and waitlists for hospital care are major socio-political issues, it is important to know if this shift has continued or if hospitalized death and dying remains predominant across Canada. Methods: Recent individual-anonymous population-level inpatient Canadian hospital data were analyzed to answer two questions: (1) what proportion of deaths in provinces and territories across Canada are occurring in hospital now? and (2) who is dying in hospital now? Results: In 2014-2015, 43.9% of all deaths in Canada (excluding Quebec) occurred in hospital. However, considerable cross-Canada differences in end-of-life hospital utilization were found. Some cross-Canada differences in hospital decedents were also noted, although most were older, male, and they died during a relatively short hospital stay after being admitted from their homes and through the emergency department after arriving by ambulance. Conclusion: Over half of all deaths in Canada are occurring outside of hospital now. Cross-Canada hospital utilization and inpatient decedent differences highlight opportunities for enhanced end-of-life care service planning and policy advancements.
Revista:
JOURNAL OF PAIN AND SYMPTOM MANAGEMENT
ISSN 0885-3924
Vol. 56
N° 6
Año 2018
Págs.E137
Revista:
JOURNAL OF PAIN AND SYMPTOM MANAGEMENT
ISSN 0885-3924
Vol. 56
N° 6
Año 2018
Págs.E87 - E88
Autores:
Wilson, D. M. (Autor de correspondencia); Brow, R.; Playfair, R.; et al.
Revista:
SOCIETIES
ISSN 2075-4698
Vol. 8
N° 4
Año 2018
Págs.108
Healthcare services are one of the twelve determinants of population health. While all types of healthcare services are important, timely access to hospital-based care when needed is critical. For three decades, long waits and wait lists for hospital admission and inpatient care have been a concern in Canada. Undersupply of hospital beds to meet population needs may be the cause of this as hospitals were downsized due to government funding cutbacks and hospital expansion has not occurred since despite population growth and aging. The availability of hospital beds for palliative population health needs may therefore be an issue, particularly as longstanding concern exists about terminally-ill and dying people being frequently admitted to hospital and having long hospital stays. A decline in hospital deaths in many developed countries, including Canada, could indicate that palliative population needs for hospital-based care are not being met. This paper compares the number of hospitals and hospital beds that exist in 9 Canadian provinces and 15 developed countries in relation to population and spatial considerations in an attempt to determine an optimal number of hospital beds for the general public and thus also palliative population health needs. Methods: Document analysis. Publicly-available hospital, population, and geographic information was sought for 9 Canadian provinces and 15 developed countries and compared. Results: Major differences in citizen to hospital bed ratios and citizen to hospital ratios across provinces and countries were found. The availability of hospitals and hospital beds clearly varies. Conclusion: Some regions may have too few hospitals and hospital beds to meet the palliative and other care needs of their citizens. Sufficient beds should exist so necessary admissions to hospital can occur without harmful delay.
Revista:
MEDICINA PALIATIVA
ISSN 1134-248X
Vol. 23
N° 3
Año 2016
Págs.141 - 152
Noelia García-Rueda; Begoña Errasti-Ibarrondo; María Arantzamendi Solabarrieta. La relación enfermera-paciente con enfermedad avanzada y terminal: revisión bibliográfica y análisis conceptual. Medicina Paliativa.
objetivo: Explorar y comprender el significado de la relación enfermera-paciente con enfermedad avanzada y terminal y sus beneficios a través de la literatura disponible.
Método
Revisión de la evidencia mediante búsquedas sistematizadas en las bases de datos Cochrane Library Plus, PubMed, UNIKA, PsycInfo y CINAHL, y mediante la técnica bola de nieve. La estrategia de búsqueda de palabras clave se dividió en 3 grandes bloques (relación enfermera-paciente, enfermería y persona cuidada con enfermedad avanzada y terminal). Tras la revisión bibliográfica se realizó un análisis conceptual de la bibliografía identificada para explorar el significado de los términos empleados, las diferencias y similitudes y las características que se le atribuyen a la relación enfermera-paciente en la literatura, así como sus beneficios y los requisitos previos para establecerla.
Resultados
Se incluyeron en el estudio 10 artículos y a través del análisis conceptual se exploró el significado de los términos empleados para aludir a la relación enfermera-paciente. Asimismo se identificaron las principales características que se le atribuyen a dicha relación: comunicación, confianza, comprensión y presencia, además de empatía y compasión.
Revista:
JOURNAL OF CLINICAL NURSING
ISSN 0962-1067
Vol. 25
N° 17-18
Año 2016
Págs.2413 - 2429
AIMS AND OBJECTIVES:
To determine, from a systematic literature review, the experience of living with heart failure and to propose some practice guidelines and research questions.
BACKGROUND:
Chronic heart failure has been one of the fastest growing illnesses in recent decades, with almost 23 million people affected worldwide. This complex syndrome has multiple causes and appears when underlying heart disease is advanced. Currently, heart failure has no cure and leads to a significant deterioration in patients' quality of life.
DESIGN:
Qualitative meta-synthesis.
METHODS:
A qualitative meta-synthesis was conducted to extract and analyse qualitative research from the Cochrane, PubMed, CINAHL, PsycINFO, Web of Science and Cuiden databases. Snowball sampling and a manual search were performed to identify other relevant studies.
RESULTS:
Twenty-five qualitative studies were selected. The findings indicate that there are three main themes that describe the phenomenon. The first theme refers to the experiences related to the beginning of the process. The second theme is connected with the effects on the person: physical, emotional, social and spiritual changes. The third theme is linked with how to live with heart failure despite the illness, including the adjustment and coping process and how external resources can help them to manage.
CONCLUSIONS:
Heart failure has a major impact on the entire person, but some areas have not been addressed. By creating new tools to underst [...]
Revista:
NURSING OUTLOOK
ISSN 0029-6554
Vol. 63
N° 3
Año 2015
Págs.255-268
Errasti-Ibarrondo, B; Pérez, M; Carrasco, J.M; Lama, M; Zaragoza, A; Arantzamendi, M. Essential elements of the relationship between the nurse and the person with advanced and terminal cancer: A meta-ethnography. Nursing Outlook DOI: 10.1016/j.outlook.2014.12.001
Indexada en: MEDLINE, CINAHL and the Journal Citation Reports published by Thomson Reuters.
Área: Enfermería-SSCI
Índice de Impacto (JCR Science 2014): 2.359
Posición de la revista en el área: 3/101
Cuartil: 1
Revista:
REVISTA ESPAÑOLA DE CARDIOLOGIA
ISSN 0300-8932
Vol. 67
N° Supl 1
Año 2014
Págs.272
Revista:
CUADERNOS DE BIOETICA
ISSN 0328-8390
Vol. 25
N° 84
Año 2014
Págs.243-256
Todos los modelos incluidos en esta revisión proporcionan a los profesionales de la salud un punto de partida para la reflexión e incorporación de prácticas que traten de preservar la dignidad social de los pacientes con enfermedad terminal. Uno de los modelos identificados ha sido aplicado a la práctica clínica con resultados positivos
Revista:
ANALES DEL SISTEMA SANITARIO DE NAVARRA
ISSN 1137-6627
Vol. 35
N° 2
Año 2012
Págs.269 - 283
La enfermería es una profesión que ha sufrido del estereotipo público durante mucho tiempo, estando sujeta a ser vista como una profesión predominantemente femenina, bajo el mandato médico y sin un campo competencial propio. Es innegable que en la última década se están sucediendo cambios trascendentales para la disciplina enfermera. En consecuencia, a través de esta revisión, con metodología sistemática, se pretende analizar la imagen social de la enfermería para poder vislumbrar si la población está percibiendo los cambios que se están sucediendo y si tiene una imagen cercana de lo que es o pretende ser. Tras realizar un análisis temático de las publicaciones seleccionadas han emergido ocho categorías, que pueden ayudar a explicar la visión que tiene la sociedad sobre la enfermería. Parece que predomina una ignorancia del público sobre la esencia y el foco de la disciplina, que es el cuidado de la persona, familia o comunidad. Asimismo, es una profesión poco visible ya que la sociedad todavía no la reconoce plenamente con un campo competencial propio. Con respecto a la autonomía e independencia de las enfermeras, se constata que hay una tendencia a verla como una profesión inferior a la medicina. Se percibe como una profesión estrechamente relacionada con «tareas» y se confía en ella para las actividades que le han sido asociadas tradicionalmente. No obstante, se va percibiendo como una profesión menos relacionada con la feminidad y más preparada que antaño.
Revista:
ENFERMERIA INTENSIVA
ISSN 1130-2399
Vol. 23
N° 4
Año 2012
Págs.179 - 188
Objetivos
Identificar, analizar y sintetizar los principales efectos que pueden relacionarse con las visitas flexibles para los familiares del paciente crítico adulto.
Método
Se realizó una revisión de la literatura científica en las bases de datos PubMed, CINAHL, PsycINFO, Cochrane Library y CUIDEN y un análisis temático del contenido de los artículos seleccionados.
Resultados
Se identificaron un total de 15 publicaciones que respondían al objetivo de la búsqueda. Tras la realización del análisis temático se identificaron 4 temas que incluyen los principales efectos derivados de las políticas de visita flexible para los familiares del paciente crítico: mejora de la satisfacción, reducción de la ansiedad y del estrés, la satisfacción de las propias necesidades familiares y el rol en el cuidado del paciente.
Conclusión
Las políticas de visita flexible, además de ser beneficiosas para los familiares del paciente crítico y el propio paciente, constituyen en sí mismas una necesidad. Se considera necesario favorecer la paulatina participación de la familia en el cuidado y la adquisición del un rol más notorio en el contexto de la visita y en su relación con el paciente.
