Emotional touchpoints; the feelings nurses have about explaining multi-resistant organisms to colonised patients.

Attitude of Health Personnel Drug Resistance, Multiple Humans Nurse-Patient Relations Nursing Staff, Hospital / psychology Surveys and Questionnaires
Emotional Touchpoints Feelings Isolation Multi-resistant organisms Nursing staff

Journal

Infection, disease & health
ISSN: 2468-0869
Titre abrégé: Infect Dis Health
Pays: Netherlands
ID NLM: 101689703

Informations de publication

Date de publication:
03 2020
Historique:
received: 04 11 2019
revised: 26 12 2019
accepted: 30 12 2019
pubmed: 30 1 2020
medline: 2 12 2020
entrez: 30 1 2020
Statut: ppublish

Résumé

Nurses face challenges when providing information about multi-resistant organisms (MROs), and related hospital policies, to patients found to be colonised, and may be concerned for their own safety when caring for MRO-colonised people. Resultant emotional responses may influence behaviours of staff caring for these patients. This study aimed to identify the feelings experienced by nurses when talking about MROs with patients. Secondary objectives were to learn about staff behaviours towards MRO-colonised patients, and to explore the utility of Emotional Touchpoints methodology in this context. A qualitative study using an adapted Emotional Touchpoints method delivered as a paper survey tool for data collection. Content analysis and inductive coding of responses was used to identify key themes. 53 nurses participated. 'Nervous', 'Concerned' and 'Knowledgeable' were the most commonly selected adjectives chosen to describe their feelings. Reasons for these choices were themed as 'Empowerment through knowledge', 'Performance anxiety', 'Concern for the patient' and 'Concern for professional reputation'. Social or temporal distancing, and the need for staff and other patients to be protected from contagion were key themes for the behaviours these nurses had witnessed towards patients. Talking about MROs with patients can elicit strong emotional responses in nurses, and MRO-colonised patients may be treated and spoken about in a discriminatory fashion. Infection prevention and control teams should recognise this and focus on the person rather than the pathogen when educating and supporting nurses. Recommendations for practice are made to support improved wellbeing of nurses as well as MRO colonised patients.

Sections du résumé

BACKGROUND
Nurses face challenges when providing information about multi-resistant organisms (MROs), and related hospital policies, to patients found to be colonised, and may be concerned for their own safety when caring for MRO-colonised people. Resultant emotional responses may influence behaviours of staff caring for these patients. This study aimed to identify the feelings experienced by nurses when talking about MROs with patients. Secondary objectives were to learn about staff behaviours towards MRO-colonised patients, and to explore the utility of Emotional Touchpoints methodology in this context.
METHODS
A qualitative study using an adapted Emotional Touchpoints method delivered as a paper survey tool for data collection. Content analysis and inductive coding of responses was used to identify key themes.
RESULTS
53 nurses participated. 'Nervous', 'Concerned' and 'Knowledgeable' were the most commonly selected adjectives chosen to describe their feelings. Reasons for these choices were themed as 'Empowerment through knowledge', 'Performance anxiety', 'Concern for the patient' and 'Concern for professional reputation'. Social or temporal distancing, and the need for staff and other patients to be protected from contagion were key themes for the behaviours these nurses had witnessed towards patients.
CONCLUSION
Talking about MROs with patients can elicit strong emotional responses in nurses, and MRO-colonised patients may be treated and spoken about in a discriminatory fashion. Infection prevention and control teams should recognise this and focus on the person rather than the pathogen when educating and supporting nurses. Recommendations for practice are made to support improved wellbeing of nurses as well as MRO colonised patients.

Identifiants

DOI: 10.1016/j.idh.2019.12.006 PMID: 31992508
pubmed: 31992508
pii: S2468-0451(19)30120-8
doi: 10.1016/j.idh.2019.12.006
pii:
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

113-123

Informations de copyright

Copyright © 2020 Australasian College for Infection Prevention and Control. All rights reserved.

Auteurs

Joanna Harris (J)

Illawarra Shoalhaven Local Health District, Infection Management and Control Service, Warrawong, NSW, 2502, Australia. Electronic address: Joanna.Harris@health.nsw.gov.au.

Kenneth Walsh (K)

School of Nursing, University of Tasmania, Hobart, 7001, Tasmania, Australia. Electronic address: Kenneth.walsh@utas.edu.au.

Hazel Maxwell (H)

College of Health and Medicine, University of Tasmania, Rozelle Campus, Sydney, 2040, NSW, Australia. Electronic address: Hazel.Maxwell@utas.edu.au.

Susan Dodds (S)

Office of the Deputy Vice-Chancellor (Research & Industry Engagement), LaTrobe University, Melbourne, 3086, Australia; School of Humanities and Languages, UNSW Sydney, 2052, Australia; Ethics, Policy and Public Engagement Theme, Australian Research Council, Centre of Excellence for Electromaterials Science (ACES), La Trobe University, Melbourne, 3086, Australia. Electronic address: S.Dodds@LaTrobe.edu.au.

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Classifications MeSH

questionsmedicales.fr › Qualité, accès, évaluation des soins de santé › Prestations des soins de santé › Attitude du personnel soignant › Emotional touchpoints; the feelings nurses...
questionsmedicales.fr › Phénomènes physiologiques › Phénomènes pharmacologiques et toxicologiques › Phénomènes pharmacologiques › Résistance aux substances › Multirésistance aux médicaments › Emotional touchpoints; the feelings nurses...
questionsmedicales.fr › Eucaryotes › Animaux › Chordés › Vertébrés › Mammifères › Eutheria › Primates › Haplorhini › Catarrhini › Hominidae › Humains › Emotional touchpoints; the feelings nurses...
questionsmedicales.fr › Qualité, accès, évaluation des soins de santé › Prestations des soins de santé › Relations entre professionnels de santé et patients › Relations infirmier-patient › Emotional touchpoints; the feelings nurses...
questionsmedicales.fr › Établissements, main d'oeuvre et services de soins de santé › Personnel de santé › Personnel hospitalier › Personnel infirmier hospitalier › Emotional touchpoints; the feelings nurses...
questionsmedicales.fr › Environnement et santé publique › Santé publique › Méthodes épidémiologiques › Collecte de données › Enquêtes et questionnaires › Emotional touchpoints; the feelings nurses...