Revistas
Autores:
Wilson, D. M. (Autor de correspondencia); Underwood, L.; Kim, S.; et al.
Revista:
NURSING OUTLOOK
ISSN:
0029-6554
Año:
2022
Vol.:
70
N°:
1
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:
ANALES DEL SISTEMA SANITARIO DE NAVARRA
ISSN:
1137-6627
Año:
2022
Vol.:
45
N°:
3
Págs.:
e1016
Background. Person-centered care has become a key global approach that seeks to provide answers to all factors of the complex health care-related processes. This has led to the development of theoreti-cal frameworks that represent the components of person-centered care. The internationally recognized Person-Centred Practice Framework (PCPF) (McCormack and McCance) allows multidisciplinary teams to understand and operationalize the dimensions for the development of person-centered care. The aim of this study was to obtain the first Spanish version of the PCPF translated and adapted to the Spanish con-text. Methods. We translated the PCPF following the Translation and cul-tural adaptation process for Patient-Reported Outcomes (PRO) Measures guidelines. A consulting session with experts was part of the process and content validation on clarity and relevance for each domain was performed. Results. We encountered no significant difficulties to reach agree-ments on most of the terms except for Having a sympathetic presence. Not only was a complex term to translate but also to trans-culturally adapt. Regarding relevance and clarity, the content index by construct (I-CVI) and the global framework (S-CVI/Ave) were consistent with their original counterparts (>= 0.90). Conclusions. The adapted Spanish version is clear, significant, and conceptually equivalent to the original PCPF. It will allow a better com-prehension of the person-centered practice framework in the Spanish context and facilitate the implementation of this approach in clinical practices.
Revista:
EVALUATION AND PROGRAM PLANNING
ISSN:
0149-7189
Año:
2021
Vol.:
89
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 TODAY
ISSN:
0260-6917
Año:
2020
Vol.:
87
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:
NURSING INQUIRY
ISSN:
1320-7881
Año:
2019
Vol.:
26
N°:
1
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
Año:
2018
Vol.:
74
N°:
7
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
Año:
2018
Vol.:
8
N°:
4
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.
Autores:
Wilson, D. M. (Autor de correspondencia); Brow, R.; Playfair, R.; et al.
Revista:
SOCIETIES
ISSN:
2075-4698
Año:
2018
Vol.:
8
N°:
4
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
Año:
2016
Vol.:
23
N°:
3
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
Año:
2016
Vol.:
25
N°:
17-18
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
Año:
2015
Vol.:
63
N°:
3
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:
CUADERNOS DE BIOETICA
ISSN:
0328-8390
Año:
2014
Vol.:
25
N°:
84
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
Otros (PIUNA, fundaciones, contratos…)
Título:
El texto fenomenológico como herramienta pedagógica para capacitar a los estudiantes de enfermería a proporcionar un cuidado centrado en la persona al final de la vida: una experiencia piloto.
Código de expediente:
2018-10
Investigador principal:
María Begoña Errasti Ibarrondo
Financiador:
UNIVERSIDAD DE NAVARRA
Convocatoria:
2019 Convocatoria PIUNA
Fecha de inicio:
01/09/2018
Fecha fin:
31/08/2019
Importe concedido:
4.100,00€