A grounded theory of humanistic nursing in acute care work environments

Khademi, Mojgan; Mohammadi, Eesa; Vanaki, Zohreh

doi:10.1177/0969733016638140

Cited by 28 publications

(31 citation statements)

References 30 publications

(37 reference statements)

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“…Even if second-year students (stage 2) could understand the virtuous cycle between humanisation of care and its potential benefits, it is only the experienced nurses (stage 4) that could operationalise this cycle by tapping into meaning and satisfaction to humanise care. This finding is akin to the results of a grounded theory study (28) in which Iranian nurses' energy to humanise care was renewed as the consequence of receiving the reward of such care (i.e. appreciation and recognition).…”

Section: Discussionmentioning

confidence: 63%

Humanistic caring, a nursing competency: modelling a metamorphosis from students to accomplished nurses

Létourneau

Goudreau

Cara

2020

Scandinavian Caring Sciences

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Humanistic caring, a nursing competency: modelling a metamorphosis from students to accomplished nurses Background: Most nursing regulatory bodies expect nurses to learn to be humanistic and caring. However, the learning process and the developmental stages of this competency remain poorly documented in the nursing literature. Methods: The study used interpretive phenomenology, and 26 participants (students and nurses) were individually interviewed. Benner's (1994) method was adapted and concretised into a five-phase phenomenological analysis to assist with intergroup comparisons. Results: Critical milestones and developmental indicators were identified for each of the five stages of the 'humanistic caring' competency. Satisfaction and meaning at work seemed closely connected to the development of 'humanistic caring'. Links emerged between the development of 'humanistic caring' and three other competencies. Conclusions: Nurse educators might insist on the fact that 'humanistic caring' goes beyond nurse-patient communication and that it is integrated in nursing care. The findings highlight that nurses' working conditions should be improved in order to uphold humanistic caring after graduation.

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Section: Discussionmentioning

confidence: 63%

Humanistic caring, a nursing competency: modelling a metamorphosis from students to accomplished nurses

Létourneau

Goudreau

Cara

2020

Scandinavian Caring Sciences

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“…Another theme found in this study was "caring preference in young and conscious patients over other patients". We can address one study by Khademi et al [18] indicating the severity of disease threat, vulnerability, and weakness of supportive resources. Such conditions (age groups, such as children and the elderly, and the absence of family members at patients' beside) mean the need for careful and longterm care.…”

Section: Discussionmentioning

confidence: 99%

“…In some cases, nurses are involved with the process of unsparing responses to situations that are in uenced by the synergy of education/learning and situation. In addition to satisfaction, especially receiving care bene ts and rewards, it also means achieving an aspect of spiritual rights and satisfaction [18].…”

Section: Discussionmentioning

confidence: 99%

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Humanistic Care in the Intensive Care Unit: A Qualitative Study

Hasandoost

Mohammadi

Khademi

et al. 2020

Preprint

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Background: Nurses working in intensive care units do their main part of the job using medical equipment. Scholars have long debated the impact of technology on nursing. Those on the negative side perceive technologies as obtrusive to comprehensive humanistic care. Up to now, there has been little investigation of the nurses' perceptions of this phenomenon. The aim of the study was, therefore, to explore the perceptions of nurses and attendants of humanistic care in the intensive care unit.Methods: The present study was a qualitative conventional content analysis conducted in an intensive care unit in a hospital in Qazvin, Iran, in 2019. Data was collected using unstructured interviews and field notes and then analyzed using the Elo-Kyngäs method in 2008.Results: Continuous and comparative analysis of the data led to the extraction of 4 main themes as follows: 1) Insufficient understanding of nurses and patients’ families of each other's roles, needs, and expectations; 2) The use of personal and situational reasoning rather than ethical principles; 3) Caring stagnation, and 4) Satisfaction with care.Conclusion: The findings of the study indicated that due to lack of equipment, high workloads, and anxieties, nurses and attendants might not be able to understand each other’s roles and expectations. If it is not resolved properly, this situation will end in conflicts and stagnation in healthcare. Patients admitted to an intensive care unit are usually in critical health conditions. However, nurses feel satisfied with the outcome of their jobs when those patients are discharged from the hospital with a stable health condition. Shedding more light on the humanistic care status in intensive care units in Iran, the results of this research can be applied to health professionals and nursing managers.

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“…A further in uence is motivating them to consciously have a people-oriented attitude in their work [25] .…”

Section: Discussionmentioning

confidence: 99%

Practical Experience of Humanistic Care Among Medical Staff in Stroke Wards: A Qualitative Research Study Conducted in China

Li¹,

Zhu²,

Yang³

et al. 2020

Preprint

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BackgroundAs a special patient group, stroke patients have a significant attachment to humanistic care. There are, however, still many problems in clinical practice. Medical staff in stroke wards are the main providers of humanistic care. Finding out the opinions of staff that provide the medical service is vitally important for stroke patients that need access to curative and humanistic care.ObjectiveThe aim of the study was to explore the psychological experiences of doctors, nurses and physiotherapists during the implementation of humanistic care in a stroke ward.MethodMedical staff including doctors, nurses and physiotherapists were selected from stroke wards in general hospitals (minimum level two) from 13 cities within six provinces in China. A purposive sampling method was used until no new data were generated (n=18). Semi-structured interviews were conducted by using a phenomenological research method. The Colaizzi seven-step method was used for analysis.ResultThe end user’s experience incorporated four themes: (1) Gradually improving the perception of humanistic caring in a stroke ward. (2) Required improvement of consciousness and ability of humanistic care implementors in a stroke ward. (3) Main problems and contradictions associated with implementing humanistic care in stroke wards. (4) Critical needs of staff in a stroke ward.ConclusionSteady advances have been made in the prevention and treatment of stroke in China. Care behaviour of staff in stroke wards has gradually improved. Nevertheless, while implementing humanistic care in stroke wards, the consciousness and ability of medical staff needs to be improved, in addition to the practical problems and contradictions affecting the development of humanistic care. In order to improve the level of humanistic care in stroke wards, attention should be paid to the overall improvement of the personal qualities of medical staff in stroke wards and the integration of a humanistic management mode.

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A grounded theory of humanistic nursing in acute care work environments

Cited by 28 publications

References 30 publications

Humanistic caring, a nursing competency: modelling a metamorphosis from students to accomplished nurses

Humanistic caring, a nursing competency: modelling a metamorphosis from students to accomplished nurses

Humanistic Care in the Intensive Care Unit: A Qualitative Study

Practical Experience of Humanistic Care Among Medical Staff in Stroke Wards: A Qualitative Research Study Conducted in China

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