Background: Despite the wealth of evidence-based practices attesting to the influence of patient dignity on the care relationship, gaps persist in healthcare professionals' abilities to bolster it. Promoting dignity-in-care poses a challenge due to the abstract nature of the concept and its lack of unequivocal definition.
Objective: To delineate the scope of training opportunities, identify gaps in dignity-in-care training, excluding the broader concept of dignity beyond healthcare assistance, and propose strategies to address these deficiencies.
Design: Systematic scoping review to determine the range and type of training opportunities for healthcare professionals.
Data Sources: We followed Preferred Reporting Items for Systematic Reviews and Meta-Analysis (PRISMA)-ScR guidelines. By February 10th 2023, we searched five databases (MEDLINE, Scopus, Embase, Cinahl, PsycINFO) for materials published from 2002 in English and Italian. In addition to the search strategy, we augmented our exploration by scrutinizing the references cited in the included papers. Our scope encompassed studies on healthcare professionals as the target population, specifically physicians, nurses, social workers, psychologists, occupational therapists, chaplains or spiritual care assistants, and students engaged in health-related disciplines.
Review Methods: Two authors independently assessed the abstracts of the retrieved articles. They discussed discrepancies with a third researcher, an expert in qualitative methodology.
Results: Eleven articles were included in the analysis after the initial screening. Most of the studies were conducted in Europe, indicating an increasing interest in training on dignity and suggesting a potential role of international nursing organizations in driving attention to dignity-in-care education. The training appeared to downplay cultural differences. However, these approaches were not without criticism, as they raised concerns about overlooking the complexities and nuances associated with dignity within cultural contexts. Our analysis suggested that incorporating dignity into the curriculum and continuing education for healthcare professionals is paramount. Finally, limited opportunities emerged for medical students, postgraduate residents, and physicians to enhance dignity within care relationships.
Conclusion: Future training programs should prioritize "culturalizing" the concept to ensure a comprehensive approach to dignity-in-care. Moreover, the focus on nursing students and limited representation from other healthcare disciplines emphasizes the need for a broader interdisciplinary approach to integrating dignity-in-care education.
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http://dx.doi.org/10.1016/j.nedt.2024.106543 | DOI Listing |
J Nurs Adm
December 2024
Authors Affiliations: Clinical Nurse Specialist (Dr. Lindell) and Clinical Nurse Specialist (Dr. Larsen), Department of Nursing, Mayo Clinic, Rochester, Minnesota.
Person-centered coaching provided by clinical nurse specialists (CNSs) is an effective, acceptable, and feasible evidence-based intervention. Psychosocial distress experienced by older adults and their families during transitions of care can contribute to adverse events. CNS coaching demonstrated increased self-reported preparedness for healthcare transitions and knowledge-of-care options.
View Article and Find Full Text PDFJ Nurs Adm
December 2024
Author Affiliations: Assistant Professor (Dr Hickman), Assistant Professor (Dr Petri), and Coordinator (Connors), University of Maryland School of Nursing, Baltimore.
Objective: To describe practicum experiences as perceived by nurse leader preceptors of graduate students in a nursing administration practicum.
Background: Practicum experiences in graduate nursing administration programs provide students with exposure to the real-life experiences of nurse leaders, bridging the gap between academic knowledge gained and the application of that information to the workplace. The literature lacks best practices for graduate nursing administration practicum experiences.
J Nurs Adm
December 2024
Authors Affiliations: PhD Candidate (Hung) and Professor (Dr Jeng), School of Nursing, Taipei Medical University; Head Nurse (Hung) and Director (Dr Ming), Department of Nursing, Taipei Veterans General Hospital; Adjunct Assistant Professor (Dr Ming), School of Nursing, College of Nursing, National Yang Ming Chiao Tung University, Taipei City; and Professor (Dr Tsao), Nursing Department and Graduate School, National Taipei University of Nursing and Health Sciences, Taiwan.
Objective: The aim of this study was to explore the lived experiences of presenteeism among Taiwanese nursing staffs.
Background: Presenteeism is a subjective and multifaceted experience, but nurses have rarely been invited to provide their own views of presenteeism.
Methods: A qualitative study based on content analysis was conducted.
J Nurs Adm
December 2024
Author Affiliation: Assistant Professor, School of Nursing and Healthcare Leadership, University of Washington, Tacoma.
Objective: This study aimed to investigate the mediating role of psychological distress in the relationship between work-family conflict and nurse managers' (NMs') professional and organizational turnover intentions.
Background: Work-family conflict is prevalent among NMs. It can have a significant impact on their intent to leave their organization and the profession.
J Nurs Adm
December 2024
Author Affiliations: Research Associate (Dr Keys), The Center for Health Design, Concord, California; National Senior Director (Dr Fineout-Overholt), Evidence-Based Practice and Implementation Science, at Ascension in St. Louis, MO.
Objective: Relationships among coworker and patient visibility, reactions to physical work environment, and work stress in ICU nurses are explored.
Background: Millions of dollars are invested annually in the building or remodeling of ICUs, yet there is a gap in understanding relationships between the physical layout of nursing units and work stress.
Methods: Using a cross-sectional, correlational, exploratory, predictive design, relationships among variables were studied in a diverse sample of ICU nurses.
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