Background: Nurses are supposed to meet patients with sensitivity, empathy and understanding, and there is thus a need for knowledge related to how nursing students develop empathy in relation to vulnerable patients.
Aim: To explore characteristics of clinical situations in which third-year students felt that they were personally affected, with the potential to develop mature empathy.
Method: In-depth qualitative interviews with seven third-year students.
Results: The study shows various examples of clinical situations where the students were emotionally affected. Simultaneously they seem to have an openness that allows them to identify with patients in vulnerable situations. These experiences contributed to personal maturity and awareness of inequalities and power relations in patient-nurse relationships.
Conclusion: Mature empathy requires that students reflect on experiences where emotions are combined with knowledge, and with insight into how norms, routines and framework conditions in the healthcare system influence actions and attitudes.
Background: The involvement of relatives in psychiatric settings has positive impacts on patients’ illness trajectory. However, research results show that the role as a relative is associated with burdens and consequences in everyday life, which have an impact on the relatives’ experiences and resources to involve themselves in the care and treatment of their loved ones.
Aim: To investigate relatives’ experiences of being involved by health care professionals in care and treatment in adult psychiatric units.
Method: Systematic review of 14 peer-reviewed qualitative studies.
Results: Two categories, ‘to be recognised as partners’ and ‘to be recognised as human beings’, and one sub-category, ‘to be informed’, were identified.
Conclusion: This study underlines the importance of involving relatives in care and treatment by acknowledging relatives’ need both for being included as a resource and for being seen as human beings with individual needs. On this basis, implications for practice are suggested.
Nursing exists in the area of tension between a practice and an academic discipline on the way to becoming a scientific discipline. In concordance with the theory development of the nursing profession, I have been encouraged to compile the themes I have researched for the past 25 years.
The purpose is to present a nursing theoretical frame of reference which could be used as a theoretical horizon of philosophy, values, concepts and ideals for clinical nurses.
In nursing, professional thinking is based on a relational view of humanity. Methodologically, the frame of reference is an interaction between philosophical, theoretical reflections in harmony with empirical projects with a predominant patient perspective.
The frame of reference can be divided into three themes: 1) The basic terms of collaboration, where the purpose is the right distribution of responsibility for the collaboration. The focus is on how power is actively formed to maintain trust. 2) The professional content of nursing, where the goal is the importance of life phenomena in concordance with needs. 3) Nursing competencies, where the goal is to develop personal, sense-focused, situational attention and courage.
Background: There are challenges around the practice of non-profit nursing. This is due to a lack of time as great emphasis is placed on efficiency. Quality nursing is characterized by patient safety, patient involvement and influence.
Aim: The aim of the review is to shed light on how time pressure affects quality and patient safety in nursing.
Method: A systematic review which included eight research articles.
Result: Several of the studies show a connection between the nurse’s work requirements and time pressure. Professional expectations and a consequent time pressure can affect the nurse’s perceptions of their own practice.
Conclusions and implications for clinical practice: Nurses may experience time pressure that affects quality and patient safety. Especially through lack of time for nurse-patient interactions, occupational health, and negative strategies with consequences for individualization and the nurse’s observations and assessment abilities. A supportive work environment is important for the nurses handling of the time pressure.
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Annelise Norlyk, professor, Institut for Folkesundhed – Sygepleje, Aarhus Universitet
Aarhus Universitet v/ Bente Martinsen Woythal
Institut for Folkesundhed, Sektion for Sygepleje, Campus Emdrup
Tuborgvej 164, bygning B
2400 København NV