Effects on nurses’ quality of working life and on patients’ quality of life of an educational intervention to strengthen humanistic practice among hemodialysis nurses in Switzerland: a protocol for a mixed-methods cluster randomized controlled trial

Abstract

BackgroundHumanistic nursing practice constitutes the cornerstone of the nursing profession. However, according to some authors, such practice tends to fade over time in favour of non-humanistic behaviours. To contrast this tendency, an educational intervention (EI) based on Watson’s Theory of Human Caring was developed and tested in two pilot studies involving, respectively, rehabilitation nurses in Quebec (Canada) and haemodialysis (HD) nurses in Switzerland. In light of the positive results obtained in these, another study is being undertaken to examine more in depth the EI’s effects on both HD nurses and patients in French Switzerland. The EI is expected to have positive effects on quality of nurse-patient relationship (NPR), team cohesion, nurse quality of working life (QoWL), and patient quality of life (QoL).Methods/designThe study described in this protocol will use a mixed-method cluster randomised controlled trial design. For the quantitative component, nurse and patient data will be collected through questionnaires. The accessible population of 135 nurses and 430 patients will be clustered into 10 HD units. These units will be randomised into an experimental group (EG) and a waiting-list control group (WLCG). Measurements will be taken at baseline (pre-intervention) and repeatedly over time (post-intervention): immediately at EI completion and six and 12 months thereafter. For the qualitative portion of the study, 18 semi-structured interviews will be conducted with EG nurses picked at random two months after EI completion to explore perceived changes in nurse humanistic practice. Qualitative data will be analysed through the relational caring inquiry method, a phenomenological approach. Descriptive and inferential statistics will be computed from the quantitative data.DiscussionThe study described in this protocol will determine if and how the proposed EI promotes humanistic nursing practice and how this practice affects quality of NPR, nurse QoWL, and patient QoL. Moreover, it will lay the groundwork for offering the EI to nurses in other healthcare sectors.Trial registrationThis clinical study was registered with ClinicalTrials.gov [NCT03283891, 14/09/2017].

Hospital Shift Hours and Its Effect on Quality of Life among Nurses: A Comparative Study

“…World Health Organization mendefinisikan kualitas hidup sebagai persepsi individu terhadap posisinya didalam kehidupan dalam konteks budaya dan sistem nilai dimana dia hidup dan relasinya dengan tujuan serta ekspektasi, standar dan kekhawatiran yang ia miliki [9]. Kualitas hidup seorang perawat merupakan aspek yang sangat penting karena mempengaruhi kualitas layanan yang diberikan kepada pasien [10].…”

Assessing Resources in a Population of Hemodialysis Patients: A New Approach to Improve Quality of Care

“…It entails the systematic evaluation of thematic representativeness across multiple cases. This research was part of a broader mixed-methods randomized control trial of the educational intervention (Delmas et al, 2018). Fifty hemodialysis nurses in the experimental group received the intervention and then 16 of them participated in a series of semi-structured interviews that served to qualitatively explore their perceptions of the EI.…”

“…Rooted in a humanistic caring approach, the educational intervention consisted of four 3.5-h sessions delivered at the rate of one per week over 4 weeks (Delmas et al, 2018). To optimize the learning experience, groups were limited to no more than five nurses.…”

“…The intervention has been pilot implemented twice over the years, once in Quebec (O'Reilly & Cara, 2011) and later in Switzerland (Delmas et al, 2016). A further component of the intervention was introduced in 2018 (Delmas et al, 2018) to train nurses in the use of an innovative patient resources self-assessment tool called AERES (from French "Auto-Evaluation des RESsources": resources self-evaluation, see Bellier-Teichmann, Golay, & Pomini 2018). The effects of the latest iteration of the educational intervention were evaluated through a mixed-methods cluster randomized controlled trial (RCT) in a sample of 100 nurses (Delmas et al, 2018).…”

The Effect of Acupressure on Anxiety and Depression Patients With ESRD Who are Undergoing Hemodialysis

“…Acupressure stimulation is closely related to the increase in monoamine neurotransmitters, especially serotonin and norepinephrine [27][28][29]. Stimulation of acupressure both manual and electro acupuncture can facilitate the production of serotonin in the brainstem and modulate the activity of norepinephrine at the locus seruleus, hypothalamus, amygdala and prefrontal cortex to facilitate the production of serotonin in the brain stem and modulate the activity of norepinephrine, hypothalamus, amygdala and prefrontal cortex to facilitate mood regulation [27][28][29]. Acupressure can also increase the availability of neurotransmitters in nerve synapses thereby increasing interaction with post synapse cells [30].…”