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Factors triggering the progressive detachment of nurses toward the fundamental needs of patients: findings from a qualitative study
The progressive desensitization of nurses in relation to fundamental needs (FNs) has been documented in anecdotical, scientific, and policy literature with nurses spending limited time at the bedside, thus affecting the quality of care and clinical outcomes. A potential reason that has been recogniz...
Autores principales: | , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Springer International Publishing
2023
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10158679/ https://www.ncbi.nlm.nih.gov/pubmed/37142862 http://dx.doi.org/10.1007/s11739-023-03289-6 |
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author | Visintini, Erica Inzerillo, Maddalena Savaris, Michele Paravan, Greta Serafini, Micol Palese, Alvisa |
author_facet | Visintini, Erica Inzerillo, Maddalena Savaris, Michele Paravan, Greta Serafini, Micol Palese, Alvisa |
author_sort | Visintini, Erica |
collection | PubMed |
description | The progressive desensitization of nurses in relation to fundamental needs (FNs) has been documented in anecdotical, scientific, and policy literature with nurses spending limited time at the bedside, thus affecting the quality of care and clinical outcomes. A potential reason that has been recognized is the limited nursing staff available in the units. However, other cultural, social, and psychological factors which have not been investigated to date may have a role in triggering the phenomenon. To investigate nurses’ perceptions of the reasons that progressively detach clinical nurses from the FNs of patients, was the main intent of the study. In 2020, a qualitative study based on grounded theory following the Standards for Reporting Qualitative Research guidelines was performed. Purposeful sampling was adopted, by including 22 clinical nurses designated as ‘good nurses’ according to the perception of nurses working in executive and academic position. All agreed to be interviewed face-to-face. The detachment of nurses from the patients’ FNs has been explained by three main factors that are interconnected: namely ‘Being personally and professionally convinced regarding the role of FNs’, ‘Being progressively detached from the FNs’, and ‘Being forced to be detached from FNs’. Nurses also identified a category including strategies aimed at preventing detachment and ‘Rediscovering the FNs as the core of nursing’. Nurses are personally and professionally convinced about the relevance of the FNs. However, they distance themselves from the FNs due to: (a) factors mainly attributable to internal personal and professional forces, such as the emotional fatigue that daily work entails; and (b) external forces related to the work environment where nurses work. To prevent this detrimental process that may result in negative outcomes for patients and their relatives, several strategies at the individual, organizational, and educational levels should be implemented. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1007/s11739-023-03289-6. |
format | Online Article Text |
id | pubmed-10158679 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | Springer International Publishing |
record_format | MEDLINE/PubMed |
spelling | pubmed-101586792023-05-09 Factors triggering the progressive detachment of nurses toward the fundamental needs of patients: findings from a qualitative study Visintini, Erica Inzerillo, Maddalena Savaris, Michele Paravan, Greta Serafini, Micol Palese, Alvisa Intern Emerg Med Im - Original The progressive desensitization of nurses in relation to fundamental needs (FNs) has been documented in anecdotical, scientific, and policy literature with nurses spending limited time at the bedside, thus affecting the quality of care and clinical outcomes. A potential reason that has been recognized is the limited nursing staff available in the units. However, other cultural, social, and psychological factors which have not been investigated to date may have a role in triggering the phenomenon. To investigate nurses’ perceptions of the reasons that progressively detach clinical nurses from the FNs of patients, was the main intent of the study. In 2020, a qualitative study based on grounded theory following the Standards for Reporting Qualitative Research guidelines was performed. Purposeful sampling was adopted, by including 22 clinical nurses designated as ‘good nurses’ according to the perception of nurses working in executive and academic position. All agreed to be interviewed face-to-face. The detachment of nurses from the patients’ FNs has been explained by three main factors that are interconnected: namely ‘Being personally and professionally convinced regarding the role of FNs’, ‘Being progressively detached from the FNs’, and ‘Being forced to be detached from FNs’. Nurses also identified a category including strategies aimed at preventing detachment and ‘Rediscovering the FNs as the core of nursing’. Nurses are personally and professionally convinced about the relevance of the FNs. However, they distance themselves from the FNs due to: (a) factors mainly attributable to internal personal and professional forces, such as the emotional fatigue that daily work entails; and (b) external forces related to the work environment where nurses work. To prevent this detrimental process that may result in negative outcomes for patients and their relatives, several strategies at the individual, organizational, and educational levels should be implemented. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1007/s11739-023-03289-6. Springer International Publishing 2023-05-04 /pmc/articles/PMC10158679/ /pubmed/37142862 http://dx.doi.org/10.1007/s11739-023-03289-6 Text en © The Author(s), under exclusive licence to Società Italiana di Medicina Interna (SIMI) 2023, Springer Nature or its licensor (e.g. a society or other partner) holds exclusive rights to this article under a publishing agreement with the author(s) or other rightsholder(s); author self-archiving of the accepted manuscript version of this article is solely governed by the terms of such publishing agreement and applicable law. This article is made available via the PMC Open Access Subset for unrestricted research re-use and secondary analysis in any form or by any means with acknowledgement of the original source. These permissions are granted for the duration of the World Health Organization (WHO) declaration of COVID-19 as a global pandemic. |
spellingShingle | Im - Original Visintini, Erica Inzerillo, Maddalena Savaris, Michele Paravan, Greta Serafini, Micol Palese, Alvisa Factors triggering the progressive detachment of nurses toward the fundamental needs of patients: findings from a qualitative study |
title | Factors triggering the progressive detachment of nurses toward the fundamental needs of patients: findings from a qualitative study |
title_full | Factors triggering the progressive detachment of nurses toward the fundamental needs of patients: findings from a qualitative study |
title_fullStr | Factors triggering the progressive detachment of nurses toward the fundamental needs of patients: findings from a qualitative study |
title_full_unstemmed | Factors triggering the progressive detachment of nurses toward the fundamental needs of patients: findings from a qualitative study |
title_short | Factors triggering the progressive detachment of nurses toward the fundamental needs of patients: findings from a qualitative study |
title_sort | factors triggering the progressive detachment of nurses toward the fundamental needs of patients: findings from a qualitative study |
topic | Im - Original |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10158679/ https://www.ncbi.nlm.nih.gov/pubmed/37142862 http://dx.doi.org/10.1007/s11739-023-03289-6 |
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