Patient experiences of uncertainty - a synthesis to guide nursing practice and research

Abstract

Structured organization of the trajectory system should be followed up, while outcome measures (patient satisfaction), education and training programmes for patients and families after discharge to improve coping strategies and reduce uncertainty should be developed. Nurse leaders should work towards the establishment of clinical academic nursing positions to integrate knowledge, skills, experiences and research into everyday routines.

The influence of clinical supervision and its potential for enhancing patient safety - Undergraduate nursing students’ views

“…These findings reveal that the students developed increased clinical skills related to "Documentation" and "User involvement" as well as becoming more sensitive to patients' needs, which is in accordance with Holm et al [15] The latter is of major importance in relation to patient safety. [20] Openness, feedback and communication about errors as well as teamwork within hospital units are reported as aspects that strengthen patient safety culture. [41,42] Thus, nurse facilitators should work towards the establishment of a safety culture not only for patients but also for staff and students in order to integrate knowledge, skills, experiences and research in everyday routines.…”

“…[41,42] Thus, nurse facilitators should work towards the establishment of a safety culture not only for patients but also for staff and students in order to integrate knowledge, skills, experiences and research in everyday routines. [20] According to Jerak-Zuideremt, [43] the core dimension of uncertain safety involves shared and distributed knowing and acting. Another dimension of uncertain safety is admitting that one does not know and acknowledging that the diagnosis is unclear.…”

“…[12] In operational terms, the purpose of supervision in nursing students' clinical education is described as maintaining and promoting care standards, practice-focused professional relationships and reflecting on practice with an experienced practitioner. Previous studies on the effects of nursing student supervision provide evidence of increased understanding of patient needs, [16] communication and organisation, [17,18] quality of nursing care and patient relationships, [19] in addition to greater responsibility, [20] development of a professional identity, enhanced decision-making ability and personal growth. [21] The Commission of European Communities [22] defined patient safety as the prevention of unnecessary or potential harm associated with healthcare.…”

Patients’ Experiences of Trust in the Patient-Nurse Relationship—A Systematic Review of Qualitative Studies

“…The large body of literature on trust within nursing lacks depth, research evidence and focuses on the potential benefits of a patient-nurse relationship [12]. The present review was conducted to contribute a deeper clinical understanding of patient-oriented phenomena in order to enhance nursing care [19], by means of a synthesis of available qualitative evidence of patients' experiences of trust and its meaning in nursing.…”

Uncertainty in pediatric bone marrow transplantation: A qualitative analysis about parents’ perspective

“…Nurses have most frequent contact with patients and their family, they are in the best position to reduce uncertainty by providing information, improving the patients' perception of health and preserving hope, as well as being aware of the need to view the patients' health status in a positive manner. [20] Therefore, it is vital for nurses to understand the interactive, collaborative nature of uncertainty management.…”