Healthcare institutions do not favor care. Meaning of humanized care for people directly participating in it

DeBruyn, Rebecca R.; Marín, Sandra Catalina Ochoa; Semenic, Sonia

doi:10.17533/udea.iee.v32n1a02

Cited by 15 publications

(23 citation statements)

References 39 publications

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“…The first recommendation is that the health institution develop a humanized care policy and precisely plan how to implement it in day-to-day practice. Consistent with previous studies, 11,16,21,22 interviewees stressed that humanized care should be conceived as an institutional project rather than the individual responsibility of nurses. Indeed, humanized care seems to match the characteristics of what the management literature calls as an "organizational citizenship behavior": an individual, voluntary, nonprescribed act that is not explicitly part of the organization's procedures and routines and yet is essential to its proper functioning and performance.…”

Section: Discussionsupporting

confidence: 79%

Empowering Nurses to Provide Humanized Care in Canadian Hospital Care Units

Guillaumie

Boiral

Desgroseilliers

et al. 2020

Holistic Nursing Practice

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Previous studies have reported a conflict between nurses' motivation to provide humanized care and practical requirements impeding them from doing so. This exploratory descriptive qualitative study aimed to explore nurses' perspectives on humanized care, the challenges they face, and, most importantly, their recommendations to overcome these barriers. Semistructured individual interviews were conducted with 17 auxiliary and registered nurses working in various health care units in a Canadian hospital. Participants demonstrated a good understanding of what humanized care covers and entails. They also described it as the very core of their profession and main source of job satisfaction. However, nurses reported that they are confronted with organizational barriers, mainly a lack of staff, the burden of administrative tasks, unsuitable physical environments or equipment, and little managerial support. Nurses stressed the need for a cultural change in managerial practices in order to be able to improve their provision of humanized care. Based on the findings, 4 structuring recommendations were identified: adopting an institutional policy promoting the implementation of humanized care, incorporating humanized care in nurses' tasks and procedures, improving participatory management, and ensuring adequate staffing.

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Section: Discussionsupporting

confidence: 79%

Empowering Nurses to Provide Humanized Care in Canadian Hospital Care Units

Guillaumie

Boiral

Desgroseilliers

et al. 2020

Holistic Nursing Practice

View full text Add to dashboard Cite

show abstract

“…On the contrary, the findings also underscored that diminishing the work overload could not guarantee humanization of care, a perception that contrasts heavily with the recommendations of several publications such as increasing ward attendant and nursing staff ( Guillaumie et al, 2020 ), ensuring adequate working conditions ( Busch et al, 2019 ), counting on the public for caring for their loved ones while in the hospital to reduce basic patient care workload ( Chen et al, 2017 ) and focusing on organizational factors such as time constraints, heavy workloads and staffing levels ( Christiansen et al, 2015 ). As previous publications pointed out ( Beltrán-Salazar, 2014 , 2016 ; Guillaumie et al, 2020 ), task-oriented care organizations exhort nurses to accomplish care procedures and other technical tasks as quickly as possible, which may be interiorized to a point of focusing predominantly on these aspects: this is perhaps why the interviewees questioned whether or not nurses would reinvest the “extra time” in humanizing care. When taking the findings of the present study altogether, tackling the work overload may not necessarily be the best strategy because nurses potentially “forgot” the necessity of humanistic caring or they abandoned this professional ideal.…”

Section: Discussionmentioning

confidence: 99%

“…Lightening the work overload was, unsurprisingly, a recommendation voiced by the majority of the respondents. Indeed, it is not the first time that work overload is pointed at as a strong barrier to humanization of care ( Beltrán-Salazar, 2014 ; Busch et al, 2019 ; Calegari et al, 2015 ; Chen et al, 2017 ; Christiansen et al, 2015 ; de Carli et al, 2018 ; Guillaumie et al, 2020 ; Hunter et al, 2018 ; Nijboer & van der Cingel, 2019 ; Reis et al, 2016 ; Roch et al, 2014 ; Tehraninesha et al, 2019 ). What the present study may add to the existing literature regarding this recommendation is the development of a “cynical attitude” cooccurring with the acquisition of clinical experience; and the perception that not all nurses would necessarily reinvest the time generated by a lighter workload in humanization of care.…”

Section: Discussionmentioning

confidence: 99%

“…The most salient suggestion being applicable to the clinical settings corresponds to the reduction of work overload, a finding that was highlighted in a considerable number of studies pertaining to humanistic caring ( Beltrán-Salazar, 2014 ; Busch et al, 2019 ; Calegari et al, 2015 ; Chen et al, 2017 ; Christiansen et al, 2015 ; de Carli et al, 2018 ; Guillaumie et al, 2020 ; Hunter et al, 2018 ; Nijboer & van der Cingel, 2019 ; Reis et al, 2016 ; Roch et al, 2014 ; Tehraninesha et al, 2019 ). In this study, second- and third-year students voiced their concerns about the work overload and seasoned nurses (experienced and accomplished) were not convinced that this recommendation could be realistically put into action.…”

Section: Discussionmentioning

confidence: 99%

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Nursing Students and Nurses’ Recommendations Aiming at Improving the Development of the Humanistic Caring Competency

2021

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Background Most nursing education programs prepare their students to embody humanism and caring as it is expected by several regulatory bodies. Ensuring this embodiment in students and nurses remains a challenge because there is a lack of evidence about its progressive development through education and practice. Purpose This manuscript provides a description of nursing students’ and nurses’ recommendations that can foster the development of humanistic caring. Methods Interpretive phenomenology was selected as the study's methodological approach. Participants (n = 26) were recruited from a French-Canadian university and an affiliated university hospital. Data was collected through individual interviews. Data analysis consisted of an adaptation of Benner’s (1994) phenomenological principles that resulted in a five-stage interpretative process. Results The following five themes emerged from the phenomenological analysis of participants’ recommendations: 1) pedagogical strategies, 2) educators’ approach, 3) considerations in teaching humanistic caring, 4) work overload, and 5) volunteerism and externship. Conclusion The findings suggest the existence of a challenge when using mannikins in high-fidelity simulations with the intention of developing humanistic caring. The findings also reaffirm the importance of giving concrete and realistic exemplars of humanistic caring to students in order to prevent them from making “communication” synonymous to “humanization of care”.

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“…Furthermore, the workload of nurses distances them from the patients and prevents them from providing care. 30 Thus, offering welcoming in precarious conditions of physical structure, human resources, and materials is a great challenge. However, the nursing professionals can be mediating agents for the understanding of patients and family members about the structural deficiencies experienced by the hospital.…”

Section: Discussionmentioning

confidence: 99%

Acolhimento de enfermagem à pessoa vítima de acidente de motocicleta e ao familiar acompanhante

et al. 2020

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RESUMO Objetivo Conhecer como ocorre o acolhimento de enfermagem à pessoa vítima de acidente de motocicleta e ao seu familiar e a percepção dos mesmos e dos profissionais sobre as fragilidades no acolhimento. Método Estudo descritivo, qualitativo, realizado em um hospital público do Norte do Brasil. Participaram 10 enfermeiros, 22 técnicos de enfermagem, 13 motociclistas vítimas de acidente e 13 familiares. Para a coleta de dados, utilizaram-se entrevista e observação não participante. Na análise, empregou-se Discurso do Sujeito Coletivo. Resultados Nos discursos dos profissionais, o acolhimento às pessoas vítimas de acidentes motociclísticos e familiares ocorre por meio da escuta, atendendo suas necessidades de conforto, permitindo ao familiar ficar junto no hospital. Entretanto, na observação constataram-se ações dos profissionais focadas nos aspectos físicos, desconsiderando a individualidade desta população. Quanto às fragilidades, os profissionais percebem a necessidade de melhores condições de trabalho; enquanto as pessoas vítimas de acidentes e familiares percebem mais investimento na estrutura do hospital e materiais. Profissionais, motociclistas vítimas de acidentes e familiares consideram que melhorar o acolhimento requer qualificação da equipe e agilidade no atendimento. Conclusão e implicações para a prática As deficiências no acolhimento de enfermagem implicam no comprometimento de gestores e profissionais do hospital para sua superação.

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Healthcare institutions do not favor care. Meaning of humanized care for people directly participating in it

Cited by 15 publications

References 39 publications

Empowering Nurses to Provide Humanized Care in Canadian Hospital Care Units

Empowering Nurses to Provide Humanized Care in Canadian Hospital Care Units

Nursing Students and Nurses’ Recommendations Aiming at Improving the Development of the Humanistic Caring Competency

Acolhimento de enfermagem à pessoa vítima de acidente de motocicleta e ao familiar acompanhante

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