M.Sc. (Nursing), Faculty of Health Sciences, University of the Witwatersrand, 2011 / In this present study, the instrument cardiac patients learning needs inventory (CPLNI) was assessed for validity and reliability by four cardiology doctors, two critical care nurses, and one patient with a history of myocardial infarction (stage one of the study). The instrument was not modified as a result of non modified CPLNI used in the pilot study which consisted of thirty seven items of information grouped into eight clusters (constructs). The aim of the study was to describe and compare intensive care nurses and patients perceptions of information needs of acute myocardial infarction patients at a public sector tertiary hospital in Johannesburg. The study has made recommendations for clinical practice and education of intensive care nurses. A quantitative, non experimental, descriptive, prospective two-part design using questionnaires was utilized in this study to find out what information out of that commonly given following myocardial infarction, patients and critical care nurses rated as being most and least important (stage two). These results were then compared with the results obtained from patients and nurses who were given the same instrument to complete. Seventy six subjects were recruited. Results indicated that some similarities existed between the patients and the nurses in terms of what they perceived as the most and least important clusters/constructs of information. The item one (what to do if I get chest pain)was ranked first with a frequency of seventy five(98,68%). The scores for some informational clusters included on the instrument were significantly different between the patient and the nurses groups (p<0.05). The constructs miscellaneous (p=0.0054), physical activity (p=0.0022) and symptom management (p=0.0284) were statistically significant. These findings and others are discussed, and recommendations are made for improving the information given on post myocardial infarction,

Bedside reporting is one way to improve communication among the health care team. At the study site, at least 50% of bedside reporting was being conducted at the door of the patient's room instead of at the patient's bedside. The project question addressed whether a computer-based education and training video on bedside reporting and a standardized bedside reporting checklist would increase the rate of bedside shift-to-shift reporting among a medical surgical unit (MSU) to 100%. The project addressed the implementation of standardizing bedside reporting through education and training using Agency for Health Care Research and Quality's (AHRQ) Guide to patient and family engagement. The project also promoted use of a standardized tool to conduct bedside reporting and a surveillance tool to ensure bedside reporting was being conducted. Data was collected through surveys and surveillance. The data was tabulated for frequencies displayed in percentages. Post-implementation findings indicated that bedside reporting went from 0% to 86% during the 2-week surveillance period. MSU nursing staff improved their knowledge and skill on how to conduct bedside reporting, but their attitude did not change as they thought the practice of bedside reporting was not an effective use of their time. Findings may be used to increase involvement of patients and families in their inpatient health care.

Healthcare administrators can improve patient care and safety by stimulating nurse engagement as a means of improving internal relationships. The purpose of this case study was to explore engagement strategies that healthcare administrators use to stimulate nurse engagement. Data were collected using semistructured interviews with 4 healthcare administrators in a Missouri hospital setting. The engagement theory informed the conceptual framework of the study. Data were analyzed using Yin's 5-step process that included compiling, disassembling, reassembling, interpreting, and concluding. Analysis revealed 4 major themes: teamwork, nurse and administrator communication, nurse recognition, and nurse empowerment. Strategies were identified through the exploration and analysis of the 4 themes, and the major findings included healthcare administrators increase trust with nurses by forming teams, and administrators who increase communication are more likely to stimulate nurse engagement. The social change implication for this study was that findings of nurse engagement may lead to improved patient care and contribute to a positive patient experience, which benefit patients and their families. Improved patient care may lead to greater faith and credence in medical care benefiting citizens, practitioners, and healthcare administrators.

Bakgrund   En förutsättning för jämlik vård är ett gott bemötande. Sjuksköterskan kan påverka patientens förtroende, delaktighet och engagemang med sitt bemötande vilket kan resultera i ökad följsamhet. Att leva med långvarig sjukdom kan upplevas stigmatiserat och i mötet med sjuksköterskan finns möjlighet till förändring, vilket kan vara en förändring i nivå av hälsolitteracitet. Hälsolitteracitet handlar om individens kompetens och färdighet kring sin sjukdom och hälsa. Hög nivå av hälsolitteracitet kan leda till en bättre livskvalité. Syfte Syftet var att belysa hur sjuksköterskans kommunikation påverkar hälsolitteracitet och följsamhet hos personer med långvarig sjukdom. Metod En litteraturöversikt av icke systematisk karaktär genomfördes. Det som utgjorde grunden för resultatet var 15 artiklar av både kvalitativ och kvantitativ design. De vetenskapliga artiklarna inhämtades vid databassökning, under september 2021, i CINAHL och PubMed. Valda artiklar granskades i enighet med Sophiahemmet Högskolas bedömningsunderlag för klassificering och kvalitetsgranskning. En integrerad dataanalys genomfördes och resultatet sorterades in i teman med två huvudkategorier med underkategorier. Resultat Resultatet redovisades i två huvudkategorier med tre och respektive fyra underkategorier. Huvudkategorier identifierades till hämmande faktorer för hälsolitteracitet eller följsamhet i förhållande till sjuksköterskans kommunikation och främjande faktorer för hälsolitteracitet eller följsamhet i förhållande till sjuksköterskans kommunikation. Till dessa identifierades underkategorierna som: obalans i vårdrelationer, kommunikationshinder, effekter av bristfällig information, tillvägagångsätt för inlärning, personcentrerad återkoppling, effekter av kommunikativt stöd och patientens kunskap och motivation. Slutsats Det finns ett flertal faktorer vilka påverkar hälsolitteracitet och följsamhet, dessa faktorer kan vara både hämmande och främjande. Sjuksköterskor använder olika tillvägagångsätt i sin kommunikation till patienten med långvarig sjukdom. De används i försäkran om att information blivit mottagen och förstådd, för att vidare kunna påverka nivån av hälsolitteracitet och följsamhet. / Background A prerequisite for equal care is a good response. The nurse can influence the patient's trust, participation and commitment with her treatment, which can result in increased compliance. Living with a long-term illness can be experienced as stigmatized and in the meeting with the nurse there is an opportunity for change, which can be a change in the level of health literacy. Health literacy is about the individual's competence and skill around their illness and health. High levels of health literacy can lead to a better quality of life. Aim The purpose was to illustrate on how the nurse's communication affects health literacy and compliance in patients with long-term illness.  Method A literature review of a non-systematic nature was conducted. What formed the basis of the result were 15 articles of both qualitative and quantitative design. The scientific articles were obtained by database search, during September 2021, in CINAHL and PubMed. Selected articles were reviewed in agreement with Sophiahemmet University's assessment basis for classification and quality review. An integrated data analysis was performed, and the results were sorted into themes with two main categories with subcategories. Results The results were reported in two main groups with three and four subgroups, respectively. The main category was identified as inhibitory factors for health literacy or compliance in relation to the nurse's communication and promoting factors for health literacy or compliance in relation to the nurse's communication. To these, the subcategories were identified as: imbalance in healthcare relationships, communication barriers, effects of lack of information, approaches to learning, person-centered feedback, effects of communicative support and the patient's knowledge and motivation. Conclusions There are several factors that affect health literacy and compliance, these factors could be both inhibitory and promoting. Nurses use different approaches in their communication to the patient with long-term illness. They are used in the assurance that information has been received and understood, in order to influence the level of health literacy and compliance.

A quality patient experience is one of the highest priorities for hospitals as patients and families are looking to healthcare providers to meet their demands for quality service. The Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) survey measures the extent to which providers effectively communicate pertinent information such as communication about medications. On a 20-bed intermediate care unit, the HCAHPS item scores relating to nurse communication and communication about medicine were inconsistent and, on most occasions, were below the comparison benchmark of the 50th percentile when compared to other like hospitals. The purpose of this quality improvement project guided by the patient-centered care model, needs based theory, and adult learning theory, was to test the impact of an educational module for nurses on best practices for teaching patients about medications. Thirty nurses consented to participate in the teach-back sessions. Results of the pre- and posttest, evaluating the nurses' knowledge and attitude about teach-back, were analyzed using the Wilcoxon Signed Ranks test and findings showed an improvement in knowledge scores (z = -2.833, p = .005). However, no statistically significant changes occurred in nurse attitudes toward teach-back. A comparison of descriptive HCAHPS scores on communication about medications and nurse communication showed that scores improved from a low of 58% top box to 74% after the teach-back education. These findings indicated that using teach-back could enhance communication about medications. Effectively communicating pertinent health information using teach-back may have significant consequences for nurse-patient-family engagement contributing to positive social change.

In last two decades medicine and nursery have experienced many reforms. In-patients are regarded self-contained human beings, persons with biopsychosocial needs. The holistic approach of human reflects also in paediatrics. After 1990 family has become a part of medical and nursery process. In case of a child hospitalisation contacts of the child and his/her family are not constrainedly interrupted but on the contrary there occurs a possibility of a common stay of children and parents or other persons caring for the child. For my Diploma Thesis I chose the theme: ``Stay of a child in hospital in terms of an accompanying person.`` This thesis contains two parts, the theoretical and empirical one. The theoretical part is divided into nine chapters. The first chapter is devoted to history of common hospitalisation of a child and his/her mother, the second one describes hospitalisation of a child with an accompanying person at present. In other chapters there are described rights of a child and accompanying persons, individual development periods of a child in connection with a disease and hospitalisation, what effect do disease or pain have on the child and reaction of the child to hospitalisation. Following chapters are devoted to the nursery process at children{\crq}s department and to medical care organisation in the Czech Republic. The empirical part is focused on finding out the level of satisfaction with the nursery care for a hospitalised child in terms of an accompanying person, which was directly the objective of the Diploma Thesis. The research proceeded in form of a quantitative investigation using a questionnaire survey. To complete and perfect the information obtained I used the qualitative investigation which proceeded in form of a depth interview. In conclusion it is possible to say that all the four hypotheses proved true: the hypothesis 1 An accompanying person is satisfied with the nursery care for a child in hospital. Hypothesis 2 An accompanying person provides a positive evaluation of the approach of nurses , the hypothesis 3 An accompanying person when staying in hospital is sufficiently informed about the child patient regime and the hypothesis 4 An accompanying person is satisfied with the environment of the department. In interviews the respondents mentioned often a missing alarm system in rooms to be the biggest negative of the common stay of a child and an accompanying person in hospital, which means insufficient contact with a nurse in case of a need of an assistance. The respondents liked the most being sufficiently informed about the child patient regime. It will be possible to use the results of the Diploma Thesis for evaluation of quality of the nursery care at children` departments and for proposal of corrective measures in the relevant area, which should lead to increase of satisfaction in the area of care for a hospitalised child and accompanying person.

No description available.

Bakgrund: Parkinsons sjukdom är en neurologisk sjukdom som angriper dopaminbildandenervceller i hjärnan som orsakar motoriska och icke motoriska symtom (Eker 2007).Sjukdomen innebär regelbundna möten med vården, där sjuksköterskans bemötande avpatienter med Parkinsons sjukdom är viktigt för patientens upplevelse av mötet. År 2016 fanns det i Sverige ca. 18 000 till 20 000 personer som led av Parkinsons sjukdom, ochmedelåldern för insjuknandet var 65 år (Socialstyrelsen 2016). Syfte: Syftet med arbetet är att belysa hur personer med Parkinsons sjukdom uppleversjuksköterskans bemötande av dem som patienter genom att sammanställa kvalitativavetenskapliga artiklar. Metod: Litteraturstudien baseras på nio vetenskapliga artiklar med kvalitativ ansats och envetenskaplig artikel med mixed-method där endast kvalitativa data användes som baseras påformulär och intervjuer. Databassökningen gjordes i Pubmed, Cinahl och PsycInfo. Granskningen utgick från SBU:s mall (2014) och kvalitetsgranskningsmall (2017). Artiklarnakommer i från olika länder och är från år 2000 och nyare. Alla valda artiklar har varit påengelska. Åtta artiklar har varit av hög kvalitet och två artiklar har varit av medelhög kvalitet. Resultat: I resultatet framkom det tre teman sociala samspel, känslor och sjuksköterskanskommunikation som svarade på syfte med tillhörande sex underkategorier kommunikation,bemötande, upplevelse, motoriska symtom, icke-motoriska symtom, samt stöd och vägledning. Konklusion: Personer som lever med Parkinsons sjukdom drabbas av olika svårigheter i sittliv. Symtom kan vara olika besvärliga beroende på person. Vid möte med en sjuksköterska ärdet viktigt för personer med Parkinsons sjukdom att vara bemötta med respekt, empati och fåtydlig information. Personer med Parkinsons sjukdom ville känna att en sjuksköterska har tidatt svara på deras frågor och har kunskap inom Parkinsons sjukdom. / Background: Parkinson's disease is a neurological disease that attacks dopamine-formingnerve cells in the brain that cause motor and non-motor symptoms (Eker 2007). The diseaseinvolves regular meetings with the care, where the nurse's treatment of patients withParkinson's disease is important for the patient's experience of the meeting. In 2016, therewere approx. 18,000 to 20,000 people suffering from Parkinson's disease, and the average ageof onset was 65 years (National Board of Health and Welfare 2016). Purpose: The purpose of the work is to shed light on how people with Parkinson's diseaseexperience nurses' treatment of them as patients by compiling qualitative scientific articles. Method: The literature study is based on nine scientific articles with a qualitative approachand a scientific article with a mixed-method where only qualitative data were used based onforms and interviews. The database search was done in Pubmed, Cinahl and PsycInfo. Thereview was based on SBU's template (2014) and quality review template (2017). Articles come from different countries and are from the year 2000 and newer. All selected articleshave been in English. Eight articles have been of high quality and two articles have been ofmedium quality. Results: The results revealed three themes for social interaction, emotions, and nursecommunication that answered the purpose of the associated six subcategories communication,treatment, experience, motor symptoms, non-motor symptoms, and support and guidance. Conclusion: People living with Parkinson's disease suffer from various difficulties in theirlives. Symptoms can be variously troublesome depending on the person. When meeting witha nurse, it is important for people with Parkinson's disease to be treated with respect, empathyand receive clear information. People with Parkinson's disease wanted to feel that a nurse hastime to answer their questions and has knowledge in Parkinson disease.

No description available.

Indiana University-Purdue University Indianapolis (IUPUI) / Technology dependent children such as those who require a feeding tube, tracheotomy or ventilator are a special group of chronically ill children who require complex care on a daily basis. When these children are hospitalized, the accompanying parent and the nurse caring for the child on the inpatient unit must communicate together about the care of the child. Care for the technology dependent child is optimized when parents and nurses both understand the plan of care for the child. To discover the process of parent-nurse communication that results in mutual understanding of the child’s plan of care, a grounded theory study to explore the perspectives of the parents of previously hospitalized technology dependent children was undertaken. The Theory of Shared Communication emerged from the data and illuminates the parent-nurse communication process. The antecedents of the process are respect for own and others expertise. The communication process consists of six communication behaviors; ask, listen, explain, advocate, verify understanding and negotiate roles. The behaviors are nested within each other and all are not necessarily required for the non-linear process to result in the relational outcome of mutual understanding of the child’s plan of care. An integrative review of the literature regarding the process of communication between parents of hospitalized chronically ill children and their nurses shed light on the components of the process, but no study was found that explicated the entire communication process. A subsequent grounded theory study added the perspectives of the nurses to the original theory. No new components of the process were uncovered, but the nurse’s narratives added significantly to our understanding of the communication process. Additionally, parents of currently hospitalized technology dependent children confirmed the propositions of the Theory of Shared Communication.