Effects on Nurses Confidence and Competence in Providing Psychological Support to Patient and Families

Furthermore, nurses who develop exhaustion may have further reduced the ability to provide practical support to parents and families. This paper focuses on providing analysis on the effects on nurses’ confidence and competence in providing psychosocial support to parents and families. The manner in which nurses interact with parents and family members dramatically influences the parent's perceptions long after a related member has been discharged from the hospital. Good interaction will help respond to the psychosocial distress experienced by both the family and parents hence meeting their needs and interact in a way to cope up during their stay in the hospital and post-discharge. However, nurses face a significant risk for adverse physical and emotional consequences of providing care in the most stressful condition in the hospital environment.

Nurses who have the priority to report when being burned out experience more considerable difficulties in their personal lives. This results in a variety of psychological complaints, higher rates of alcohol and drug abuse and compulsive gambling. Nurses also are prone to experiencing a variety of health problems such as sleeplessness, headaches, muscle tension, immune dysfunction and gastrointestinal or cardiovascular disturbance. Also, seasoned nurses with considerable work experience may have increased susceptibility to the cumulative effect of stressful experience that can also lead to post-traumatic stress disorder. High rates of burnout among nurses are associated with many adverse effects on patient's care, including an increase in healthcare-associated infections, a decrease in recognition and reporting of errors, an increase in patient mortality and a reduction in patient-reported satisfaction.

These stressors bring forth a variety of emotional responses that families do not expect but which commonly occur; shock, fear, guilt, lack of control. Families may also resend to the nurses who often spend more time with their patients. This results in the nurses being blamed and criticized by families who render them to be less able to concentrate and make a decision, compounding an already stressful situation. The cumulative stress faced by families confer a higher risk for perinatal mood and anxiety disorder with other families. Excellent communication skills by the nurses help in the avoidance of depression, anxiety, and post-traumatic stress disorder in patients and families. Developing trust between families and their medical providers may be an issue, and if neglected it hinders good communication between families (Tang et al.

It is reported that families trusted their health care providers to administer health-related issues to their patients. Nurses also have the task of understanding the educational and financial background of a family. Some families with lower incomes have a little health literacy skill. This makes the families be vulnerable and need assistance in understanding health-related issues. Competent communication heavily influences the perception of the health care status in which the families have on their patients. This may reduce or increase the level of depression. Nurses with advanced communication skills are essential to families since they are viewing a necessary source of information and support than neonatologists. Furthermore, frequent communication between the parents and nurses on their patients help effective communication of the health status and leading to good parental understanding.

(De Wit et al. Reflective memos were developed, and themes emerged. Results While initially distressing, being interviewed about abuse is more beneficial than harmful for women, due to the therapeutic process of talking about abuse. Discussion To maximize the therapeutic impact of discussing abuse, women must maintain autonomy and feel they are in a safe and confidential environment. Within this supportive atmosphere, very few women report any regret after discussing abuse and are able to identify positive outcomes. Implications for practice Findings from this review support the need for mental health nurses and other clinicians to create an optimal environment for discussing abuse and offer relevant practice recommendations. In 2000, 68% of all papers were published in the 8 Anglo countries and 90% were written in English.

Conclusions: The Anglo and English preponderances appear to be a consequence of at least two phenomena: (1) editorial policy changes in MEDLINE and in some journals from Non-Anglo countries and (2) factors affecting Non-Anglo researchers in the third world (publication constraints, migration, and undersupport). These are tentative conclusions that need confirmation. Pubmed article Abstract Introduction This study clarifies the trends observed in open access (OA) in the biomedical field between 2006 and 2010, and explores the possible explanations for the differences in OA rates revealed in recent surveys. Methods The study consists of a main survey and two supplementary surveys. Abstract BACKGROUND It is uncertain whether lower levels of staffing by nurses at hospitals are associated with an increased risk that patients will have complications or die.

METHODS We used administrative data from 1997 for 799 hospitals in 11 states (covering 5,075,969 discharges of medical patients and 1,104,659 discharges of surgical patients) to examine the relation between the amount of care provided by nurses at the hospital and patients' outcomes. We conducted regression analyses in which we controlled for patients' risk of adverse outcomes, differences in the nursing care needed for each hospital's patients, and other variables. RESULTS The mean number of hours of nursing care per patient-day was 11. 4, of which 7. A higher proportion of hours of care provided by registered nurses was also associated with lower rates of pneumonia (P=0. 001), shock or cardiac arrest (P=0. 007), and “failure to rescue,” which was defined as death from pneumonia, shock or cardiac arrest, upper gastrointestinal bleeding, sepsis, or deep venous thrombosis (P=0.