The role of the perioperative nurse liaison at Hadassah-Hebrew University Medical Center, Ein Kerem in Jerusalem, Israel, is to provide information and help patients' family members and others accompanying surgical patients cope with feelings of uncertainty, emotional stress, and fear. The nurse liaison is responsible for ongoing communication with patient accompaniers awaiting the conclusion of surgery and, in particular, for updating them on the surgery's progress. As part of a quality assurance project, the OR academic assistant, the OR nursing supervisor, and the coordinator of clinical quality and assurance in nursing conducted a quantitative descriptive survey to evaluate patient accompaniers' satisfaction with the updates provided by the nurse liaison throughout surgery and with the waiting room conditions. Results indicated that the nurse liaison makes a significant contribution to the welfare of patient accompaniers during surgery. In addition, results showed a need to improve the waiting room conditions to allow for more privacy.
ObjectivesTo examine the association between listening and disruptive behaviors and the association between disruptive behavior and the wellbeing of the nurse. To test whether constructive and destructive listening has an incremental validity.MethodsA structured questionnaire survey that measured the (constructive & destructive) listening climate at work, exposure to disruptive behaviors, well-being and feeling as a victim. We presented this survey using the Qualtrics software.ResultsOf the final sample of 567 respondents who reported that they were nurses, MAge = 38.41, 67% indicated that they were exposed to some form of disruptive behavior. Experiencing listening in the ward was associated with low levels of exposure to disruptive behaviors; exposure to disruptive behaviors, in turn, predicted reduction in the nurses’ wellbeing; the reduction in wellbeing was especially pronounced among nurses who felt like a victim. Each of the facets of the listening measure—constructive listening and destructive listening—had incremental validity in predicting exposure to disruptive behaviors. Finally, the effect of exposure to disruptive behavior on wellbeing was curvilinear.ConclusionsDisruptive behavior is a major challenge to the workplace well-being for nurses. The victim mentality has an adverse impact on nurses. Preventive efforts aimed at reducing disruptive behaviors among nurses and decreasing their sense of victimization are crucial for the well-being of nurses.
BackgroundNurse managers and team co‐workers' disruptive behaviors (DBs) are negatively associated with a perceived safe climate. Moreover, DBs are a risk factor for patients' safety. Yet, it remains unknown whether and to what extent these effects were prevalent in COVID‐19 wards and among witnesses of DBs.DesignA cross‐sectional study.MethodsA questionnaire was distributed on social networks and completed by nurses in various Israeli healthcare organizations using snowball sampling between October and December 2021. The questionnaire included seven previously published measures and a question checking whether the participants had worked in a COVID‐19 ward. The minimal sample size for any analysis was 236. Hypotheses were tested with correlations and structural equation modeling.ResultsDBs of nurse managers and team co‐workers toward nurses were higher in COVID‐19 teams. As hypothesized, DBs were negatively correlated with a safe climate and positively with patient safety (fewer errors). The data were consistent with a model suggesting that a safe climate is related to fewer DBs and DBs largely mediate the effects of safe climate on errors. Surprisingly and importantly, the strongest predictor of errors, including preventable mortality, is witnessing DBs and not being a victim of DBs.ConclusionsDBs may impede open communication and collaboration among co‐workers, particularly in COVID‐19 teams. This study shows the links between nurse shaping of a safe climate, DBs toward nurses, and patient safety.Clinical relevanceNurse managers who create a safe climate and show zero tolerance for DBs could reduce the risk of errors in care.
ObjectivesThe aim of this study is to determine patient satisfaction compared to nurse perception of patient satisfaction in Peri-anesthesia unit.BackgroundIn 2014 American Society of Anesthesiology published guidelines stating standards for care for hypervigilance during perioperative patient assessments. Other policy publications focus on equipment and practices in this clinical setting. However, none of these sources provide an account of patient experience.MethodsThis is a Prospective, convenience paired matched sampling study using Three multichoice questionnaires were distributed to patients and nurses in this unit. Both nurse and patient questionnaires were distributed simultaneously and paired.Results200 patients and total staff 30 nurses, 26 participated in the study-response rate 87%. Patients' perception showed highest level of satisfaction in nurses' listening. The nurses rated patients' satisfaction with communication and environmental conditions highest compared to other categories. The only significant difference between the nurses and patients' perceptions was in specific symptom communication, patients rated this lower satisfaction compared to nurses ranking this domain.ConclusionIn conclusion, similarity was found between nurses' and patients' ratings. This knowledge is relevant in raising awareness that nurses should be more vigilant evaluating and inquiring about peri-operative patients' symptoms.
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