OBJECTIVES: To understand healthcare professionals' experiences and perceptions of nurses' potential or ideal roles in pharmaceutical care (PC). DESIGN: Qualitative study conducted through semi-structured in-depth interviews. SETTING: Between December 2018 and October 2019, interviews were conducted with healthcare professionals of 14 European countries in four healthcare settings: hospitals, community care, mental health and long-term residential care. PARTICIPANTS: In each country, pharmacists, physicians and nurses in each of the four settings were interviewed. Participants were selected on the basis that they were key informants with broad knowledge and experience of PC. DATA COLLECTION AND ANALYSIS: All interviews were conducted face to face. Each country conducted an initial thematic analysis. Consensus was reached through a face-to-face discussion of all 14 national leads. RESULTS: 340 interviews were completed. Several tasks were described within four potential nursing responsibilities, that came up as the analysis themes, being: 1) monitoring therapeutic/adverse effects of medicines, 2) monitoring medicines adherence, 3) decision making on medicines, including prescribing 4) providing patient education/information. Nurses' autonomy varied across Europe, from none to limited to a few tasks and emergencies to a broad range of tasks and responsibilities. Intended level of autonomy depended on medicine types and level of education. Some changes are needed before nursing roles can be optimised and implemented in practice. Lack of time, shortage of nurses, absence of legal frameworks and limited education and knowledge are main threats to European nurses actualising their ideal role in PC. CONCLUSIONS: European nurses have an active role in PC. Respondents reported positive impacts on care quality and patient outcomes when nurses assumed PC responsibilities. Healthcare professionals expect nurses to report observations and assessments. This key patient information should be shared and addressed by the interprofessional team. The study evidences the need of a unique and consensus-based PC framework across Europe.
- MeSH
- adherence pacienta MeSH
- dospělí MeSH
- farmaceuti psychologie MeSH
- farmaceutické služby organizace a řízení MeSH
- kvalitativní výzkum MeSH
- lékaři psychologie MeSH
- lidé středního věku MeSH
- lidé MeSH
- nemocnice MeSH
- průzkumy a dotazníky MeSH
- role ošetřovatelky psychologie MeSH
- senioři MeSH
- zdraví - znalosti, postoje, praxe * MeSH
- zdravotní sestry psychologie MeSH
- Check Tag
- dospělí MeSH
- lidé středního věku MeSH
- lidé MeSH
- mužské pohlaví MeSH
- senioři MeSH
- ženské pohlaví MeSH
- Publikační typ
- časopisecké články MeSH
- práce podpořená grantem MeSH
- Geografické názvy
- Evropa MeSH
BACKGROUND: Nursing shortages, the substitution of practical nurses for registered nurses, an ageing workforce, the decreasing number of nurse graduates and the increasing migration of young nurses are important factors associated with the hospital safety climate in Central European countries. AIMS: The aim of the study was to investigate nurses' perceptions of the safety climate in four selected central European countries (Croatia, the Czech Republic, Poland and Slovakia) and to determine the relationship between safety climate and unfinished nursing care. METHODS: A cross-sectional study was used. The sample consisted of 1353 European nurses from four countries. Instruments used were the Hospital Survey on Patient Safety Culture and the Perceived Implicit Rationing of Nursing Care. Data were analysed using descriptive statistics and multiple regression analyses. RESULTS: Significant differences were found between countries in all unit/hospital/outcome dimensions. 'Perceived Patient Safety' and 'Reporting of Incident Data' were associated with aspects of 'Organizational Learning' and 'Feedback and Communication about Error'. Higher prevalence of unfinished nursing care is associated with more negative perceptions of patient safety climate. CONCLUSIONS: Cross-cultural comparisons allow us to examine differences and similarities in safety dimensions across countries. The areas with potential for initiating strategies for improvement in all four countries are 'Staffing', 'Non-punitive Response to Error' and 'Teamwork across Hospital Units'. IMPLICATIONS FOR NURSING AND HEALTH POLICY: 'Feedback and Communicating about Error' and 'Organizational Learning - Continuous Improvement' were the main predictors of 'Overall Perception of Patient Safety' and 'Reporting of Incident Data'. Therefore, nurse managers should focus on how to empower nurses in these areas in order to foster a no-blame culture and effective reporting. In addition, it is important for policymakers to update nursing education standards in order to address patient safety.
- MeSH
- bezpečnost pacientů normy MeSH
- dospělí MeSH
- lidé středního věku MeSH
- lidé MeSH
- organizační kultura * MeSH
- personál sesterský nemocniční psychologie MeSH
- postoj zdravotnického personálu * MeSH
- průřezové studie MeSH
- řízení bezpečnosti organizace a řízení MeSH
- role ošetřovatelky psychologie MeSH
- zdravotní sestry v řízení a kontrole psychologie MeSH
- Check Tag
- dospělí MeSH
- lidé středního věku MeSH
- lidé MeSH
- mužské pohlaví MeSH
- ženské pohlaví MeSH
- Publikační typ
- časopisecké články MeSH
- srovnávací studie MeSH
- Geografické názvy
- Česká republika MeSH
- Chorvatsko MeSH
- Polsko MeSH
- Slovenská republika MeSH
Příspěvek se zaměřuje na ošetřovatelskou péči poskytovanou hospitalizovanému dítěti z pohledu jeho rodičů. Hospitalizace doprovodu u dítěte do 6 let je běžnou praxí na dětském oddělení. Sestra zaměřuje poskytování ošetřovatelské péče nejen na dítě, ale samozřejmostí musí být kooperace s doprovodem dítěte. Cíl: Cílem příspěvku je zhodnotit pohled rodičů hospitalizovaných dětí na poskytování ošetřovatelské péče. Metodika: Pro sběr dat byla použita metoda kvantitativního výzkumu, technikou dotazníkového šetření. Byl použit dotazník The Nurse Parent Support Tool (Miles, 1998) zaměřený na 4 oblasti - informovanost a komunikace s rodiči, emocionální podpora, posilování a podpora rodičovské role a poskytovaní kvalitní a odborné ošetřovatelské péče dítěti. Výzkumný soubor tvořili rodiče hospitalizovaných dětí na dětských odděleních. Výsledky: Nejlepší hodnocení rodiče vyjadřovali v oblasti poskytování kvalitní a odborné ošetřovatelské péče dítěti. Nejméně spokojení byli rodiče v oblasti poskytování emocionální podpory.
The paper focuses on nursing care provided to a hospitalized child from the point of view of his/her parents. It is a common practice of the children's department of the hospital to place a carer with a child younger than 6 years old to the hospital. The nurse focuses not only on the provision of nursing care to the child, but it is essential that he/she cooperates with the child's carer, too. Objective: The aim of the paper is to evaluate the views of parents of hospitalized children on the provision of nursing care to the children. Methods: Quantitative research, questionnaire survey techniques were used to obtain the data. The Nurse Parent Support Tool (Miles, 1998) was used, focusing on 4 areas - supportive communication and provision of information related to the child, emotional support, strengthening of and supporting parental roles, and providing quality and professional nursing care to the child. The focus group consisted of parents of hospitalized children. Results: Among the parents, the best evaluated area was the provision of quality and professional nursing care to the child. The parents were the least satisfied in the area of emotional support.
- MeSH
- kontinuální vzdělávání zdravotních sester metody organizace a řízení MeSH
- role ošetřovatelky psychologie MeSH
- vztahy mezi zdravotnickým pracovníkem a pacientem MeSH
- zajištění kvality zdravotní péče MeSH
- zdravotní sestry v klinické praxi ekonomika psychologie výchova MeSH
- Publikační typ
- novinové články MeSH
- rozhovory MeSH
Objectives: Nurse coaching is an important strategy for improving the health of populations. Effective interventions for nurse coaching (NC) practice, fair value outcome measurements, and standardization of terms have yet to be determined. As healthcare systems adopt electronic medical records and as nurse coaching practice evolves, it is important to capture and identify NC interventions. The long-term goal is to improve patient-centered practice by using standardized interface terminology and to examine the feasibility of using the Omaha System to represent NC practice. The three aims were to evaluate content validity of NC case studies, test accuracy of NC graduates identifying Omaha System terms for NC interventions, and explore the feasibility of analyzing NC case study data. Design: This survey research evaluated NC case studies that were developed for this study by the first author and mapped to Omaha System intervention terms. Sample: Surveys were emailed to 400 graduates of two nurse coach education programs. Nurse Coaches self-reported little to no experience using standardized terminologies for documentation. Measures: The Omaha System was used to describe the interventions found in the NC case studies. Results: Across the three case studies, 95.7% of NCs agreed that the case studies were realistic, and 89.3% agreed that they would use similar interventions; NCs identified Omaha System interventions for the case studies accurately 84.3% of the time, and feasibility of analyzing NC practice data was demonstrated through use of case study data in aggregate. Conclusion: The Omaha System has potential for use as a NC documentation tool and should be considered for development of a standardized, evidence-based guideline for NC practice.
- MeSH
- dospělí MeSH
- lidé středního věku MeSH
- lidé MeSH
- migréna farmakoterapie ošetřování psychologie MeSH
- ošetřovatelská péče metody pracovní síly MeSH
- ošetřovatelské zhodnocení metody MeSH
- péče orientovaná na pacienta metody pracovní síly trendy MeSH
- role ošetřovatelky psychologie MeSH
- roztroušená skleróza ošetřování psychologie MeSH
- standardizovaná ošetřovatelská terminologie MeSH
- vztahy mezi ošetřovatelkou a pacientem MeSH
- Check Tag
- dospělí MeSH
- lidé středního věku MeSH
- lidé MeSH
- mužské pohlaví MeSH
- ženské pohlaví MeSH
- Publikační typ
- kazuistiky MeSH
