The impact of compassionate care education on nurses: A mixed-method systematic review.


Journal

Journal of advanced nursing
ISSN: 1365-2648
Titre abrégé: J Adv Nurs
Pays: England
ID NLM: 7609811

Informations de publication

Date de publication:
Nov 2019
Historique:
received: 13 08 2018
revised: 12 03 2019
accepted: 02 04 2019
pubmed: 5 6 2019
medline: 1 8 2020
entrez: 5 6 2019
Statut: ppublish

Résumé

To identify, describe, and summarize evidence from quantitative, qualitative, and mixed-method studies conducted to prepare nurses and nursing students to lead on and/or deliver compassionate care. Mixed-method systematic review. CINAHL, Medline, PsychINFO, and SocINDEX (January 2007-February 2018). Papers were screened by two independent reviewers using an online screening tool and data were extracted using a standardized data extraction table. Parallel-results convergent synthesis was used to synthesize evidence from included qualitative, quantitative, and mixed-method studies. Quality appraisal and risk of bias assessment were conducted. Fifteen studies were included with three main themes and six sub-themes: (a) programme impact (impact on ward-level and senior nurses and impact on nursing students and educators); (b) programme characteristics (characteristics leading to positive outcomes and characteristics leading to negative outcomes); and (c) programme implementation (implementation barriers and implementation facilitators). Compassionate care education programmes helped enhance nurses' ability to engage in reflective practice, deal with clinical challenges, and gain confidence. The importance of nurturing compassionate care delivery in nursing education was highlighted in the literature. Various nursing-level, patient-level, and organizational barriers to compassionate care delivery were identified. The impact of compassionate care educational programmes on nurses was predominantly positive. Further evaluation of the long-term impact of these programmes on nurses, patients, and organizations is warranted. Optimal delivery of compassionate care can be achieved by building organizational infrastructures that support nurses from all levels to attend education programmes and lead on compassionate care delivery. 目的: 在于确定、描述和总结来自定量、定性和混合方法研究的证据,这些研究旨在帮助护士和护理学生引导和/或提供人文护理。 设计: 混合方法型系统综述。2018). 资料来源: CINAHL、Medline、PsychINFO和SocINDEX (2007年1月至2018年2月)。 综述方法: 两名独立审查员使用在线筛选工具筛选了各种文件,并使用标准化的数据提取表提取了相关数据。采用了平行结果 汇聚式合成法来综合纳入的定性、定量和混合方法研究相关证据。进行了质量评定和偏差风险评估。 结果: 纳入了15项研究,和三大主题和六个子主题:(a)方案影响(对病房和高级护士的影响以及对护理学生和教育工作者的影响);(b)方案特征(促成积极结果的特征和引发消极结果的特征);以及(c)方案执行(实施的不利因素和有利因素)。人文关怀护理教育计划有助于提高护士参与反思实践、应对临床挑战和获得信心的能力。相关文献强调了在护理教育中鼓励人文关怀护理的重要性。已确定各种护理层面、患者层面和机构层面的人文关怀护理相关不利因素。 结论: 人文关怀护理教育计划对护士的影响主要是积极的。有必要进一步评估这些计划对护士、患者和机构的长期影响。 影响: 通过建立支持各级护士参加教育方案和促成人文关怀护理的机构性基础设施,可以有助于最好的实施人文关怀护理。.

Autres résumés

Type: Publisher (chi)
目的: 在于确定、描述和总结来自定量、定性和混合方法研究的证据,这些研究旨在帮助护士和护理学生引导和/或提供人文护理。 设计: 混合方法型系统综述。2018). 资料来源: CINAHL、Medline、PsychINFO和SocINDEX (2007年1月至2018年2月)。 综述方法: 两名独立审查员使用在线筛选工具筛选了各种文件,并使用标准化的数据提取表提取了相关数据。采用了平行结果 汇聚式合成法来综合纳入的定性、定量和混合方法研究相关证据。进行了质量评定和偏差风险评估。 结果: 纳入了15项研究,和三大主题和六个子主题:(a)方案影响(对病房和高级护士的影响以及对护理学生和教育工作者的影响);(b)方案特征(促成积极结果的特征和引发消极结果的特征);以及(c)方案执行(实施的不利因素和有利因素)。人文关怀护理教育计划有助于提高护士参与反思实践、应对临床挑战和获得信心的能力。相关文献强调了在护理教育中鼓励人文关怀护理的重要性。已确定各种护理层面、患者层面和机构层面的人文关怀护理相关不利因素。 结论: 人文关怀护理教育计划对护士的影响主要是积极的。有必要进一步评估这些计划对护士、患者和机构的长期影响。 影响: 通过建立支持各级护士参加教育方案和促成人文关怀护理的机构性基础设施,可以有助于最好的实施人文关怀护理。.

Identifiants

pubmed: 31162701
doi: 10.1111/jan.14088
doi:

Types de publication

Journal Article Review Systematic Review

Langues

eng

Sous-ensembles de citation

IM

Pagination

2340-2351

Subventions

Organisme : Health Service Executive, National Leadership Innovation Centre in Ireland.

Informations de copyright

© 2019 The Authors. Journal of Advanced Nursing Published by John Wiley & Sons Ltd.

Références

Adam, D., & Taylor, R. (2014). Compassionate care: Empowering students through nurse education. Nurse Education Today, 34(9), 1242-1245. https://doi.org/10.1016/j.nedt.2013.07.011
Adamson, E., & Dewar, B. (2015). Compassionate care: Student nurses' learning through reflection and the use of story. Nurse Education in Practice, 15(3), 155-161. https://doi.org/10.1016/j.nepr.2014.08.002
Blomberg, A. C., Willamssen, E., von Post, I., & Lindwall, L. (2015). Student nurses' experiences of preserved dignity in perioperative practice - Part I. Nursing Ethics, 22(6), 676-687. https://doi.org/10.1177/0969733014542675
Blomberg, K., Griffiths, P., Wengström, Y., May, C., & Bridges, J. (2016). Interventions for compassionate nursing care: A systematic review. International Journal of Nursing Studies, 62, 137-155. https://doi.org/10.1016/j.ijnurstu.2016.07.009
Bray, L., O'Brien, M. R., Kirton, J., Zubairu, K., & Christiansen, A. (2014). The role of professional education in developing compassionate practitioners: a mixed methods study exploring the perceptions of health professionals and pre-registration students. Nurse Education Today, 34(3), 480-486. https://doi.org/10.1016/j.nedt.2013.06.017
Bridges, J., May, C., Fuller, A., Griffiths, P., Wigley, W., Gould, L., … Libberton, P. (2017). Optimising impact and sustainability: A qualitative process evaluation of a complex intervention at compassionate care. BMJ Quality and Safety, 26(12), 1-8.
Burston, S., Chaboyer, W., Wallis, M., & Stanfield, J. (2011). A discussion of approaches to transforming care: Contemporary strategies to improve patient safety. Journal of Advanced Nursing, 67(11), 2488-2495. https://doi.org/10.1111/j.1365-2648.2011.05706.x
Chavalarias, D., Wallach, J. D., Li, A. H., & Ioannidis, J. P. (2016). Evolution of reporting p values in the biomedical literature, 1990-2015. JAMA, 315(11), 1141-1148.
Costello, M., & Barron, A. M. (2017). Teaching compassion: Incorporating Jean Watson's caritas processes into a care at the end of life course for senior nursing students. International Journal of Caring Sciences, 10(3), 1113-1117.
Critical Appraisal Skills Programme. (2017). CASP checklists. Retrieved from http://www.casp-uk.net/casp-tools-checklists
Day, H. (2014). Engaging staff to deliver compassionate care and reduce harm. British Journal of Nursing, 23(18), 974-980. https://doi.org/10.12968/bjon.2014.23.18.974
Dewar, B., & Cook, F. (2014). Developing compassion through a relationship centred appreciative leadership programme. Nurse Education Today, 34(9), 1258-1264. https://doi.org/10.1016/j.nedt.2013.12.012
Dewar, B., & Nolan, M. (2013). Caring about caring: Developing a model to implement compassionate relationship centred care in an older people care setting. International Journal of Nursing Studies, 50(9), 1247-1258. https://doi.org/10.1016/j.ijnurstu.2013.01.008
Dewar, B., Pullin, S., & Tocheris, R. (2011). Valuing compassion through definition and measurement: Belinda Dewar and colleagues describe a project that has enabled clinicians to improve patients' experience by identifying and changing aspects of care. Nursing Management, 17(9), 32-37. https://doi.org/10.7748/nm2011.02.17.9.32.c8301
Effective Practice and Organisation of Care. (2015). Suggested risk of bias criteria for EPOC reviews. Retrieved from https://epoc.cochrane.org/sites/epoc.cochrane.org/files/public/uploads/Suggested%20risk%20of%20bias%20criteria%20for%20EPOC%20reviews.pdf
Flemming, K., Booth, A., Hannes, K., Cargo, M., & Noyes, J. (2018). Cochrane Qualitative and Implementation Methods Group guidance series-paper 6: Reporting guidelines for qualitative, implementation, and process evaluation evidence syntheses. Journal of Clinical Epidemiology, 97, 79-85. https://doi.org/10.1016/j.jclinepi.2017.10.022
Francis, R. (2013). Report of the Mid Staffordshire NHS Foundation Trust public inquiry. Retrieved from http://webarchive.nationalarchives.gov.uk/20150407084003/http://www.midstaffspublicinquiry.com/sites/default/files/report/Volume%201.pdf
Higgins, J. P. T., & Green, S. (Eds.). (2011). Cochrane Handbook for Systematic Reviews of Interventions Version 5.0.1. The Cochrane Collaboration. Retrieved from www.cochrane-handbook.org
Hong, Q. N., Pluye, P., Bujold, M., & Wassef, M. (2017). Convergent and sequential synthesis designs: Implications for conducting and reporting systematic reviews of qualitative and quantitative evidence. Systematic Reviews, 6, 61. https://doi.org/10.1186/s13643-017-0454-2
Jones, J., Winch, S., Strube, P., Mitchell, M., & Henderson, A. (2016). Delivering compassionate care in intensive care units: Nurses' perceptions of enablers and barriers. Journal of Advanced Nursing, 72(12), 3137-3146. https://doi.org/10.1111/jan.13064
Kavanagh, J., Campbell, F., Harden, A., & Thomas, J. (2012). Mixed methods synthesis: A worked example. In K. Hannes, & C. Lockwood (Eds.), Synthesizing qualitative research: Choosing the right approach (pp. 113-136). London, UK: BMJ Books.
Luxford, K., Safran, D. G., & Delbanco, T. (2011). Promoting patient-centered care: A qualitative study of facilitators and barriers in healthcare organizations with a reputation for improving the patient experience. International Journal of Quality in Health Care, 23(5), 510-515.
MacArthur, J., Wilkinson, H., Gray, M. A., & Matthews-Smith, G. (2017). Embedding compassionate care in local NHS practice: Developing a conceptual model through realistic evaluation. Journal of Research in Nursing, 22(1-2), 130-147. https://doi.org/10.1177/1744987116678901
Mannion, R. (2014). Enabling compassionate healthcare: Perils, prospects and perspectives. International Journal of Health Policy and Management, 2(3), 115-117. https://doi.org/10.15171/ijhpm.2014.34
Massie, S., & Curtis, V. (2017). Compassionate Leadership - More Important than Ever in Today's NHS. Retrieved from https://www.kingsfund.org.uk/blog/2017/02/compassionate-leadership-more-important-than-ever
Masterson, A., Robb, E., Gough, P., & Machell, S. (2014). Inspiring senior nurses to lead the delivery of compassionate care: Abigail Masterson and colleagues describe an innovative programme that gave participants the confidence to make changes in practice and return to the core values of nursing. Nursing Older People, 26(8), 26-30. https://doi.org/10.7748/nop.26.8.26.e622
Moher, D., Liberati, A., Tetzlaff, J., & Altman, D. G. (2009). Preferred reporting items for systematic reviews and meta-analyses: The PRISMA statement. PLoS Medicine, 6(7), 1-6. https://doi.org/10.1371/journal.pmed.1000097
National Leadership and Innovation Centre. (2017). National Leadership and Innovation Centre for Nursing and Midwifery Office of the Nursing & Midwifery Services Director Clinical Strategy and Programmes Division HSE Information Booklet 2017/18. Retrieved from http://www.hse.ie/eng/about/Who/ONMSD/leadership/NLIC-Information-Booklet.pdf
NHS. (2014). Compassion in Practice: Two years on. NHS Engl and Nursing Directorate. Retrieved from https://www.england.nhs.uk/wp-content/uploads/2014/12/nhs-cip-2yo.pdf
O'Driscoll, M., Allan, H., Liu, L., Corbett, K., & Serrant, L. (2018). Compassion in Practice - Evaluating the awareness, involvement and perceived impact of a national nursing and midwifery strategy amongst health care professionals in NHS Trusts in England. Journal of Clinical Nursing, 27(5-6), 1097-1109. https://doi.org/10.1111/jocn.14176
Peters, M. A. (2006). Compassion: An investigation into the experience of nursing faculty. International Journal for Human Caring, 10(3), 38-46. https://doi.org/10.20467/1091-5710.10.3.38
Pluye, P., & Hong, Q. N. (2014). Combining the power of stories and the power of numbers: Mixed methods research and mixed studies reviews. Annual Review of Public Health, 35, 29-45. https://doi.org/10.1146/annurev-publhealth-032013-182440
Saab, M. M., Landers, M., & Hegarty, J. (2016). Promoting testicular cancer awareness and screening: A systematic review of interventions. Cancer Nursing, 39(6), 473-487. https://doi.org/10.1097/NCC.0000000000000333
Saab, M. M., Reidy, M., Hegarty, J., O'Mahony, M., Murphy, M., Von Wagner, C., & Drummond, F. J. (2018). Men's information-seeking behavior regarding cancer risk and screening: A meta-narrative systematic review. Psycho-Oncology, 27, 410-419. https://doi.org/10.1002/pon.4506
Shantz, M. L. (2007). Compassion: A concept analysis. Nursing Forum, 42(2), 48-55. https://doi.org/10.1111/j.1744-6198.2007.00067.x
Sinclair, S., Norris, J. M., McConnell, S. J., Chochinov, H. M., Hack, T. F., Hagen, N. A., … Bouchal, S. R. (2016). Compassion: A scoping review of the healthcare literature. BMC Palliative Care, 15, 6. https://doi.org/10.1186/s12904-016-0080-0
Smith, S., Gentleman, M., Loads, D., & Pullin, S. (2014). An exploration of a restorative space: A creative approach to reflection for nurse lecturer's focused on experiences of compassion in the workplace. Nurse Education Today, 34(9), 1225-1231. https://doi.org/10.1016/j.nedt.2014.03.003
The Cochrane Collaboration. (2017). Covidence. Retrieved from http://community.cochrane.org/tools/review-production-tools/covidence
Tierney, S., Seers, K., Tutton, E., & Reeve, J. (2017). Enabling the flow of compassionate care: A grounded theory study. BMC Health Services Research, 17, 174. https://doi.org/10.1186/s12913-017-2120-8
Tong, A., Flemming, K., McInnes, E., Oliver, S., & Craig, J. (2012). Enhancing transparency in reporting the synthesis of qualitative research: ENTREQ. BMC Medical Research Methodology, 12, 181. https://doi.org/10.1186/1471-2288-12-181
Winch, S., Henderson, A., & Jones, J. (2015). Recognizing the dialectic of compassionate care in the workplace: Feedback from nurse educators. The Journal of Continuing Education in Nursing, 46(5), 228-232. https://doi.org/10.3928/00220124-20150420-03
Zamanzadeh, V., Valizadeh, L., Rahmani, A., van der Cingel, M., & Ghafourifard, M. (2018). Factors facilitating nurses to deliver compassionate care: A qualitative study. Scandinavian Journal of Caring Sciences, 32(1), 92-97. https://doi.org/10.1111/scs.12434
Zubairu, K., Christiansen, A., Kirkcaldy, A., Kirton, J. A., Kelly, C. A., Simpson, P., … Brown, J. M. (2017). An evaluation of National Health Service England's Care Maker Programme: A mixed-methods analysis. Journal of Clinical Nursing, 26, 4634-4645. https://doi.org/10.1111/jocn.13809

Auteurs

Alice Coffey (A)

Department of Nursing and Midwifery, University of Limerick, Limerick, Ireland.

Mohamad M Saab (MM)

School of Nursing and Midwifery, University College Cork, Cork, Ireland.

Margaret Landers (M)

School of Nursing and Midwifery, University College Cork, Cork, Ireland.

Nicola Cornally (N)

School of Nursing and Midwifery, University College Cork, Cork, Ireland.

Josephine Hegarty (J)

School of Nursing and Midwifery, University College Cork, Cork, Ireland.

Jonathan Drennan (J)

School of Nursing and Midwifery, University College Cork, Cork, Ireland.

Cora Lunn (C)

Office for the Chief Director of Nursing and Midwifery, UL Hospitals Group, University Hospital Limerick, Dooradoyle, Ireland.

Eileen Savage (E)

School of Nursing and Midwifery, University College Cork, Cork, Ireland.

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