Empowering nurses: exploring self-managed organizations in Indian healthcare

BMC Nursing, Journal Year: 2023, Volume and Issue: 22(1)

Published: Dec. 15, 2023

Given India's high patient load on the existing healthcare setup, as well political, social, and organizational challenges, nursing sector is facing various problems, therefore leading to substandard experiences poor care at parallel setups, specifically homecare. This paper presents self-managed organizations (SMOs) characterized by a horizontal management structure an effective alternative hierarchical structures overladen with bureaucracy. Therefore, we are exploring strategies homecare that can make better more productive experience.This study utilized Constructivist Grounded Theory (CGT), employing semi-structured interviews explore dynamics in structures. It delved into crucial aspects like finances, structure, value systems, information flow, conflict resolution within SMOs. The methodology involved theoretical sampling, prioritizing expert self-management knowledge over mere representativeness. Seven nurses, twelve members, fifteen patients from contributed examination of experiences. Constant comparative analysis data led identification Qualitative Success Enablers (QSEs), revealing three themes: Insightfulness, Enhancing Nursing Experience through Job Enrichment, Autonomy-Enabled Intrapreneurship.The findings indicate represented studied organization India has shown considerable success times laden uncertainties during COVID-19 pandemic, especially delta wave, which revealed frailty infrastructure. successfully maintained experience gained employee satisfaction, in-depth constant analysis.In world unique stand brink significant transformations. SMOs vital for enhancing overall performance. Fostering trust-based environment integral delivering services. autonomy design jobs, insightfulness, innovativeness job suitable training activities, enrichment methods, finding meaningfulness softer caregiving result enhanced groundbreaking approach be extended other India, relieving strain system.

Language: Английский

---

Nurses Response to the Physical and Psycho-Social Care Needs of Patients with COVID-19: A Mixed-Methods Study

Healthcare, Journal Year: 2024, Volume and Issue: 12(1), P. 114 - 114

Published: Jan. 3, 2024

The COVID-19 pandemic heavily impacted nursing care. This study aimed to understand which interventions were instrumental in responding patients’ needs by exploring the experiences of patients and nurses. In this mixed-method with an explanatory sequential design, we involved nurses caring for intensive sub-intensive care units patients. first phase, collected data through a survey that assessed from perspective patients, as well patient satisfaction. second qualitative interviews third extracted quantitative records. Our sample included 100 nurses, 59 15 records, 31 (15 16 nurses). results phase showed agreed on most important difficulties: “breathing”, “sleep/rest”, “communication”. Nursing was rated positively 90% four themes identified interviews: “my problems”, emotions”, “helpful factors”, “nursing care”. Five nurses’ “the context”, “nurses’ “facilitators barriers care”, professional role”. From analysis clinical documentation, it not possible model used conclusion, adopted reactive-adaptive approach, based experience/knowledge, pursuing generalized objectives, adapting their response evolution. difficult contexts, requires constant competent technical-relational presence at patient’s bedside.

Language: Английский

---

Nurse–patient interaction during the Covid‐19 pandemic: Creating and maintaining an interactive space for care

Journal of Advanced Nursing, Journal Year: 2022, Volume and Issue: 79(1), P. 281 - 296

Published: Nov. 7, 2022

To explore nurse-patient interactions during the Covid-19 pandemic from both nurses' and patients' perspectives.Qualitative study using constructive grounded theory.A total of 34 patients 49 nurses acute home care settings participated in individual or focus group interviews between December 2020 May 2021. Data were analysed by a team researchers coding, memo-writing, theoretical sampling constant comparison integration.We identified creation maintenance an interactive space as main social process. This was shaped context course pandemic. For nurses, four factors key, namely protecting oneself others, navigating communication barriers, adapting nursing actions to evolving situation, providing emotional work. Patients experienced attentive caring relationships with felt that, for most part, their needs had been met despite challenges.Nurses created which they able provide receive necessary care. Maintaining often challenging, required intentional effort particularly settings. The findings illustrate that ensured provision even public health crisis, thereby enabling patient access good quality care.Nurse-patient are important effective, person-centred delivery. Despite challenges, managed uphold imperative ensure Findings further insights on importance interaction maintaining They inform models delivery strategies support crises.

Language: Английский

---

Impact of telenurse-led intervention in clinical trials on health literacy, empowerment, and health outcomes in patients with solid tumours: a pilot quasi-experimental study

BMC Nursing, Journal Year: 2024, Volume and Issue: 23(1)

Published: Feb. 2, 2024

Abstract Background During the COVID-19 pandemic, decentralised clinical trials incorporated self-monitoring, self-reporting, and telenursing tools to address health literacy empowerment of patients enrolled in trials. We aimed determine impact an educational intervention using consultations on literacy, empowerment, health-related quality life cancer by measuring level satisfaction with care received assessing views healthcare professionals concerning advanced practice nurse (APN) role oncology Methods In this pilot analytical, descriptive, longitudinal, quasi-experimental, pre-post test study, was conducted 5 visits APN synchronous teleconsultation starting treatment for first time a trial ( n = 60), working 31). A descriptive analysis samples questionnaires were utilised along statistical comparisons. Results After intervention, patients' (31.7%), (18.3%), (33.3%) increased p < 0.05), decrease trend towards resolution needs 0.05). Satisfaction terms perceived convenience, transition, continuity showed positive results 64.9 ± 20.7, 77.6 19.5, 72.1 20.4 respondents, respectively. On overall assessment role, expressed high agreement statements related their work performance. Conclusions The data indicates that APN-led increase improvement life, patients. Patients stated they indicated levels acceptance APNs. Based these results, we suggest should gain more recognition Spanish system professional competencies be aligned those other countries.

Language: Английский

---

Italian nurses’ experiences of the COVID-19 pandemic through social media: A longitudinal mixed methods study of Internet posts

Digital Health, Journal Year: 2022, Volume and Issue: 8, P. 205520762211290 - 205520762211290

Published: Jan. 1, 2022

To examine the experience of Italian nurses posted on social media and discover changes, if any, over waves.A mixed methods study reported according to Good Reporting a Mixed Methods Study criteria. All narratives (texts, letters interviews) by from February 2020 May (first wave) October 2021 (second/third five most famous professional platforms. The data were analysed qualitatively then quantitatively wave).A total 380 (202,626 words, 2510 quotes) in first wave, 161 (68,388 835 second/third wave. In following themes emerged: (a) 'sharing what is happening within myself' (891; 35.5%); (b) 'experiencing unprecedented working conditions' (749; 29.8%); (c) 'failing rehabilitate image society' (376; 15%); (d) deep change' (253; 10.1%) (e) 'do not abandon us' (241; 9.6%). same subthemes also emerged wave with some significant differences, indicating changes lived nurses. Moreover, new theme emotions towards jabs'.By analysing their posts, continue face challenges during COVID-19 pandemic, experiences across waves. Governments, nursing associations health care organizations should consider these design policies prevent further loss

Language: Английский

---

Alone yet accountable, the unseen buffers: A qualitative study of nurses' experiences working in home care during the COVID‐19 pandemic

Scandinavian Journal of Caring Sciences, Journal Year: 2023, Volume and Issue: 38(2), P. 321 - 333

Published: Dec. 19, 2023

Abstract Background Norwegian society's resilience during the COVID‐19 pandemic resulted in low mortality rates and moderate economic decline. The accessible primary healthcare system played a vital role this, especially care of elderly chronically ill patients. However, nurses home experienced emotional burdens, ethical dilemmas limited access to protective equipment. These challenges were overshadowed by media coverage hospital struggles, municipal services oddly absent from post‐pandemic reports. This research therefore aimed explore describe how working pandemic. Methods We designed qualitative study conducted semi‐structured interviews with nine different municipalities Southeast Norway. Systematic text condensation inspired Malterud was employed for data analysis. Results Nurses' experiences described through two categories: ‘adapting approaches’ work practices’. results showed often felt alone while simultaneously shouldering significant responsibility patients facing novel unfamiliar illness. necessitated treating their own homes minimise infection risks, intensifying nurses' treatment responsibilities. Furthermore, medical expertise physical separation management due remote accentuated feelings isolation amplified patient care. Additionally, encountered frequent changes routines, demanding adaptability. Conclusion underscores nurses, who, despite feeling professionally isolated unsupported, demonstrated impressive They served as crucial buffer system, ensuring vulnerable individuals received essential highlights importance robust skilled nursing workforce that can autonomously, shoulder responsibility, make clinical decisions, even when is less readily available. It also reminds us preparedness depends on collaborative efforts across all sectors.

Language: Английский

---

Studio osservazionale sui livelli di soddisfazione, responsabilità e competenza in una coorte di infermieri italiani di salute mentale durante la pandemia da Covid-19

Dissertation Nursing, Journal Year: 2024, Volume and Issue: 3(1)

Published: Jan. 31, 2024

biettivo: Indagare la soddisfazione professionale e il benessere percepito dagli Infermieri che lavorano in Salute Mentale, focalizzandosi sugli “stressors” ai quali, gli stessi, sono esposti quotidianamente: processo decisionale, responsabilità infermieristica, competenza professionale, lavoro d’équipe rapporto di leadership. Metodi: Sono stati reclutati infermieri nelle strutture psichiatriche più precisamente nei Dipartimenti Mentale (DSM) sia a livello ospedaliero, Servizi Psichiatrici Diagnosi Cura (SPDC) territoriale Centri (CSM), Strutture Residenziali (SRTR, SRSR) semiresidenziali quali i Diurni (CD). raccolti dati sociodemografici, quali: sesso, età, stato civile, titolo studio, luogo area geografica servizio. E’ utilizzato “Questionario Copenaghen (COPSOQ): questionario sulle condizioni psicosociale, salute benessere”. Risultati: In totale 58 hanno partecipato allo studio. Dalla valutazione delle associazioni esistenti tra le caratteristiche socio-demografiche tre dimensioni del non si evidenza alcuna associazione lineare, tranne per livelli rilevati: presso (CSM) o (SPDC), registrano un significativamente alto nel proprio (p=.016), rispetto colleghi riabilitazione psichiatrica. Conclusioni: Dai risultati ottenuti è emerso come Responsabilità, Competenza Professione incidano sulla personale infermieristico quanto, stessa, influenzi questi fattori.

---

Core stories of physicians on a Swiss internal medicine ward during the first COVID-19 wave: a qualitative exploration

Schweizerische medizinische Wochenschrift, Journal Year: 2024, Volume and Issue: 154(3), P. 3760 - 3760

Published: March 29, 2024

The first COVID-19 wave (2020), W1, will remain extraordinary due to its novelty and the uncertainty on how handle pandemic. To understand what physicians went through, we collected narratives of frontline working in a Swiss university hospital during W1.

Language: Английский

---

Lived Experiences of Intensive Care Professional Nurses Caring for COVID-19 Patients in Private Hospitals in Gauteng, South Africa: A Phenomenological Study

Journal of Nursing Management, Journal Year: 2024, Volume and Issue: 2024, P. 1 - 13

Published: April 25, 2024

To explore and describe intensive care professional nurses' experiences caring for COVID-19 patients in private hospitals Gauteng, South Africa. Pandemics are unique forms of disasters characterised by adverse psychological symptoms behaviours. Literature confirms a globally increased workload during pandemics, causing emotional exhaustion poor concentration among healthcare workers. Moreover, high mortality rates mentioned as cause moral distress injury to Africa was unprepared the pandemic, evidenced overcrowded hospitals, lack resources, rates. A qualitative, phenomenological, exploratory, descriptive, contextual research design used. The five largest from same hospital group Gauteng were chosen they admitting many patients. Fifteen participants selected through purposeful sampling. Semistructured, in-depth, individual interviews conducted audio-recorded, field notes taken April 2022 December 2022. transcribed verbatim analysed using Giorgi's approach. Three themes emerged: abrupt transition normality pandemic; experienced isolation family, community, nursing management; feelings satisfaction gratitude teamwork learning. It is essential holistic be considered along with patients' care. findings this study could drive institutions respond health, care, support needs. Implication Nursing Management. management should consider shorter fewer consecutive workdays nurses rest restore their energy levels. Nurse also provide human being visible communicating them. Holistic self-care practices included in-service training programmes.

Language: Английский

---

Experiences of Nurses Working as Helpers in a Dedicated COVID-19 Ward of a Certified Tertiary Hospital

Korean Association for Qualitative Research, Journal Year: 2024, Volume and Issue: 9(2), P. 93 - 103

Published: July 30, 2024

Language: Английский

---