• Rezultati Niso Bili Najdeni

Author contributions / Prispevek avtorjev

In document Obzornik zdravstvene nege (Strani 30-33)

Branko Bregar conceptualized and designed the study, conducted the study, statistical analysis and interpretation of the results. Brigita Skela Savič conceptualized and designed the study, interpreted the data, and she is the author's second supervisor and consultant. Karmen Kajdiž participated in statistical analysis and interpretation of the results. Blanka Kores Plesničar conceptualized and designed the study, revised the manuscript, and she is the author's first supervisor and consultant. All co-authors contributed to the writing process, and had full access to the data, read, and approved the final manuscript. / Branko Bregar je zasnoval in oblikoval raziskavo, izvedel raziskavo, statistično analizo in interpretacijo rezultatov.

Brigita Skela Savič je zasnovala in oblikovala raziskavo, interpretirala podatke in je avtorjeva somentorica in

svetovalka. Karmen Kajdiž je sodelovala pri statistični analizi in interpretaciji rezultatov. Blanka Kores Plesničar je zasnovala in oblikovala raziskavo, pregledala rokopis in je glavna mentorica in svetovalka. Vsi soavtorji so prispevali k procesu pisanja, imeli so popoln dostop do podatkov, prebrali in odobrili so končni rokopis.

Literature

Bergk, J., Flammer, E. & Steinert, T., 2010. "Coercion Experience Scale" (CES):  validation of a questionnaire on coercive measures. BMC Psychiatry, 10, p. 5.

https://doi.org/10.1186/1471-244X-10-5

Bergk, J., Einsiedler, B., Flammer, E. & Steinert, T., 2011. A randomized controlled comparison of seclusion and mechanical restraint in inpatient settings. Psychiatric services, 62(11), pp. 1310–1317.

https://doi.org/10.1176/appi.ps.62.11.1310 PMid:22211210

Berzlanovich, A.M., Schöpfer, J. & Keil, W., 2012. Deaths due to physical restraint. Deutsches Ärzteblatt International, 109(3), pp. 27–32.

https://doi.org/10.3238/arztebl.2012.0027

Bowers, L., Alexander, J., Simpson, A., Ryan, C. & Carr-Walker, P., 2004. Cultures of psychiatry and the professional socialization process: the case of containment methods for disturbed patients. Nurse Education Today, 24(6), pp. 435–442.

https://doi.org/10.1016/j.nedt.2004.04.008 PMid:15312952

Bregar, B. & Možgan, B., 2012. Provision patient's safety in psychiatry - nursing view. In: B. Skela-Savič, S. Hvalič Touzery, K. Skinder Savić, J. Joca, I. Avberšek-Lužnik, et al., eds. 5th International Scientific Conference Quality Health Care Treatment in the Framework of Education, Research and Multiprofessional Collaboration - Towards the Health of Individuals and the Society, 7th - 8th June 2012, Ljubljana, Slovenia. Jesenice: College of Nursing, pp. 444–450.

Bregar, B., Skela-Savič, B. & Kores Plesničar, B., 2018. Cross-sectional study on nurses' attitudes regarding coercive measures: the importance of socio-demographic characteristics, job satisfaction, and strategies for coping with stress. BMC psychiatry, 18(1), p. 171.

https://doi.org/10.1186/s12888-018-1756-1 PMid: 29866142; PMCid: PMC5987471

Declaration of Helsinki – Ethical Principles for Medical Research Involving Human Subjects, 2013. Fortaleza: The World Medical Association.

Ejneborn Looi, G.M., Engström, Å. & Sävenstedt, S., 2015. A self-destructive care: self-reports of people who experienced coercive measures and their suggestions for alternatives. Issues in Mental Health Nursing, 36(2), pp. 96–103.

https://doi.org/10.3109/01612840.2014.951134

Espinosa, L., Harris, B., Frank, J., Armstrong-Muth, J., Brous, E., Moran, J., et al., 2015. Milieu improvement in psychiatry using evidence-based practices: the long and winding road of culture change. Archives of Psychiatric Nursing, 29(4), pp. 202–207.

https://doi.org/10.1016/j.apnu.2014.08.004

Fariña-López, E., Estévez-Guerra, G.J., Gandoy-Crego, M., Polo-Luque, L.M., Gómez-Cantorna, C. & Capezuti, E.A., 2014. Perception of Spanish nursing staff on the use of physical restraints. Journal of Nursing Scholarship, 46(5), pp. 322–330.

https://doi.org/10.1111/jnu.12087

Gates, D.M., Gillespie, G.L. & Succop, P., 2011. Violence against nurses and its impact on stress and productivity. Nursing Economics, 29(2), pp. 59–66.

PMid:21667672

Gelkopf, M., Roffe, Z., Behrbalk, P., Melamed, Y., Werbloff, N. & Bleich, A., 2009. Attitudes, opinions, behaviours, and emotions of the nursing staff toward patient restraint. Issues in Mental Health Nursing, 30(12), pp. 758–763.

https://doi.org/10.3109/01612840903159777

Happell, B., Dares, G., Russell, A., Cokell, S., Platania-Phung, C. & Gaskin, C. J., 2012. The relationships between attitudes toward seclusion and levels of burnout, staff satisfaction, and therapeutic optimism in a district health service. Issues in Mental Health Nursing, 33(5), pp. 329–336.

https://doi.org/10.3109/01612840.2011.644028 PMid:22545640

Happell, B. & Koehn, S., 2010. Attitudes to the use of seclusion:

has contemporary mental health policy made a difference.

Journal of Clinical Nursing, 19(21/22), pp. 3208–3217.

https://doi.org/10.1111/j.1365-2702.2010.03286.x

Heyman, E., 1987. Seclusion. Journal of Psychosocial Nursing and Mental Health Services, 25(11), pp. 9–12.

PMid:3694565

Hollins, L. & Stubbs, B., 2011. Managing the risk associated with physical intervention: a discussion paper. The British Journal of Forensic Practice, 13(4), pp. 257–263.

https://doi.org/10.1108/14636641111190015

Janssen, W.A., van de Sande, R., Noorthoorn, E.O., Nijman, H.L., Bowers, L., Mulder, C.L., et al., 2011. Methodological issues in monitoring the use of coercive measures. International Journal of Law and Psychiatry, 34(6), pp. 429–438.

https://doi.org/10.1016/j.ijlp.2011.10.008

Knutzen, M., Bjørkly, S., Eidhammer, G., Lorentzen, S., Helen Mjøsund, N., Opjordsmoen, S., et al., 2013. Mechanical and pharmacological restraints in acute psychiatric wards: why and how are they used. Psychiatry Research, 209(1), pp. 91–97.

https://doi.org/10.1016/j.psychres.2012.11.017

Kodeks etike v zdravstveni negi in oskrbi Slovenije, 2014.

Ljubljana: Zbornica zdravstvene in babiške nege Slovenije – Zveza strokovnih društev medicinskih sester, babic in zdravstvenih tehnikov Slovenije.

McCabe, D.E., Alvarez, C.D., McNuty, S.R. & Fitzpatrick, J.J., 2011. Perceptions of physical restraints use in the elderly among registered nurses and nurse assistants in a single acute care hospital. Geriatric Nursing, 32(1), pp. 39–45.

https://doi.org/10.1016/j.gerinurse.2010.10.010 PMid:21146901

Mental Health Act. Official Gazette of the RS nr. 77/2008.

Migon, M.N., Coutinho, E.S., Huf, G., Adams, C.E., Cunha, G.M. & Allen, M.H., 2008. Factors associated with the use of physical restraints for agitated patients in psychiatric emergency rooms. General Hospital Psychiatry, 30(3), pp. 263–268.

https://doi.org/10.1016/j.genhosppsych.2007.12.005

Morgan, S., 2011. Ethical issues in patient restraint. Nursing Times, 107(9), pp. 22–25.

Moylan, L.B. & Cullinan, M., 2011. Frequency of assault and severity of injury of psychiatric nurses in relation to the nurses' decision to restrain. Journal of Psychiatric and Mental Health Nursing, 18(6), pp. 526–534.

https://doi.org/10.1111/j.1365-2850.2011.01699.x

Muir-Cochrane, E.C., Baird, J. & McCann, T.V., 2015. Nurses' experiences of restraint and seclusion use in short-stay acute old age psychiatry inpatient units: a qualitative study. Journal of Psychiatric and Mental Health Nursing, 22(2), pp. 109–115.

https://doi.org/10.1111/jpm.12189

Raboch, J., Kalisová, L., Nawka, A., Kitzlerová, E., Onchev, G., Karastergiou, A., et al., 2010. Use of coercive measures during involuntary hospitalization: findings from ten European countries. Psychiatric Services, 61(10), pp. 1012–1017.

https://doi.org/10.1176/appi.ps.61.10.1012

Roberts D., Crompton D., Milligan, E. & Groves, A., 2009.

Reflections on the use of seclusion in an acute mental health facility. Journal of Psychosocial Nursing and Mental Health Services, 47(10), pp. 25–31.

https://doi.org/10.3928/02793695-20090902-01 PMid:19835317

Soininen, P., Putkonen, H., Joffe, G., Korkeila, J. & Välimäki, M., 2014. Methodological and ethical challenges in studying patients' perceptions of coercion: a systematic mixed studies review. BMC Psychiatry, 14, p. 162.

https://doi.org/10.1186/1471-244X-14-162 PMid:24894162; PMCid:PMC4051960

Steinert, T., Birk, M., Flammer, E. & Bergk, J., 2013. Subjective distress after seclusion or mechanical restraint: one-year follow-up of a randomized controlled study. Psychiatric Services, 64(10), pp. 1012–1017.

https://doi.org/10.1176/appi.ps.201200315 PMid:23771400

Stewart, D., Van der Merwe, M., Bowers, L., Simpson, A. &

Jones, J., 2010. A review of interventions to reduce mechanical restraint and seclusion among adult psychiatric inpatients.

Issues in Mental Health Nursing, 31(6), pp. 413–424.

https://doi.org/10.3109/01612840903484113 PMid:20450344

Strout, D.T., 2010. Perspectives on the experience of being physically restrained: an integrative review of the qualitative literature. International Journal of Mental Health Nursing, 19(6), pp. 416–427.

https://doi.org/10.1111/j.1447-0349.2010.00694.x PMid:21054728

Van der Merwe, M., Muir-Cochrane, E., Jones, J., Tziggili, M.

& Bowers, L., 2013. Improving seclusion practice: implications of a review of staff and patient views. Journal of Psychiatric and Mental Health Nursing, 20(3), pp. 203–215.

https://doi.org/10.1111/j.1365-2850.2012.01903.x PMid:22805615

Whitecross, F., Seeary, A. & Lee, S., 2013. Measuring the impacts of seclusion on psychiatry inpatients and the effectiveness of a pilot single-session post-seclusion counselling intervention.

International Journal of Mental Health Nursing, 22(6), pp. 512–521.

https://doi.org/10.1111/inm.12023 PMid:23682907

World Medical Association, 2013. World Medical Association Declaration of Helsinki: ethical principles for medical research involving human subjects. Journal of the American Medical Association, 310(20), pp. 2191–2194.

https://doi.org/10.1001/jama.2013.281053

Cite as / Citirajte kot:

Bregar, B., Skela-Savič, B., Kajdiž, K. & Kores Plesničar, B., 2018. The Heyman Survey of nursing employees' attitudes towards mechanical restraints in Slovenia. Obzornik zdravstvene nege, 53(1), pp. 18–30.

https://doi.org/10.14528/snr.2019.53.1.275

https://doi.org/10.14528/snr.2019.53.1.313 ABSTRACT

Introduction: Understanding spirituality and spiritual care is a prerequisite for holistic care. The research goal was to describe nurses' attitudes towards spirituality and spiritual care.

Methods: The study was carried out between 2015 and 2016 using a quantitative non-experimental method.

The Spirituality and Spiritual Care Rating Scale Questionnaire was given to a sample of 182 nursing care employees, mostly women (n = 153, 88.4 %), with completed higher (n = 93, 53.8 %) or secondary (n = 75, 43.4 %) education, from four Slovenian hospitals. The questionnaire had adequate internal consistency (Cronbach alpha = 0.83).

Results: The highest agreement ( = 4.27, s = 0.82) was reached on the statement which describes spiritual care as respecting patient's privacy, dignity, cultural and religious beliefs. Participants also agreed with the statement that they provide spiritual care by demonstrating kindness, care, and cheerfulness ( = 4.2, s = 0.76), but they expressed uncertainty about the statement that spirituality and spiritual care are fundamental aspects of nursing care ( = 2.88, s = 1.08).

Discussion and conclusion: Participants connect spirituality with an understanding of themselves and the world, rather than only with religion and sacral objects. The research has confirmed the findings of previous Slovenian studies that nurses give priority to meeting patients' physical needs before spiritual ones probably also as a result of a lack of knowledge and professional guidance on spiritual care.

IZVLEČEK

Uvod: Razumevanje duhovnosti in duhovne oskrbe je pogoj nudenja celostne oskrbe pacienta. Cilj raziskave je bil opisati stališča zaposlenih v zdravstveni negi do duhovnosti in duhovne oskrbe.

Metode: Raziskava je bila izvedena v letih 2015 in 2016, z uporabo kvantitativne neeksperimentalne metode.

Na vzorcu 182 zaposlenih v zdravstveni negi iz štirih slovenskih bolnišnic, v katerem so prevladovale ženske (n = 153, 88,4 %) s končano visokošolsko (n = 93, 53,8 %) ali srednješolsko izobrazbo (n = 75, 43,4 %), je bil uporabljen vprašalnik Spirituality and Spiritual Care Rating Scale. Vprašalnik je imel ustrezno notranjo konsistentnost (Cronbach alfa = 0,83).

Rezultati: Najvišje strinjanje ( = 4,27, s = 0,82) so anketiranci podali za trditev, ki opisuje duhovno oskrbo z vidika spoštovanja zasebnosti, dostojanstva ter spoštovanja kulturnih in verskih prepričanj pacienta. Prav tako se strinjajo, da zagotavljajo duhovno oskrbo pacientov z izkazovanjem prijaznosti, skrbi in vedrine ( = 4,2, s = 0,76). Anketiranci so bili negotovi glede trditve, da sta duhovnost in duhovna oskrba temeljna vidika zdravstvene nege ( = 2,88, s = 1,08).

Diskusija in zaključek: Anketiranci duhovnost povezujejo predvsem z razumevanjem samega sebe in sveta, najmanj pa z religijo ter s sakralnimi objekti. Raziskava potrjuje ugotovitve predhodnih slovenskih raziskav, da dajejo zaposleni v zdravstveni negi pred duhovnimi potrebami prednost oskrbi fizičnih potreb, verjetno tudi zaradi pomanjkanja znanja o tem področju in ustreznih smernic.

Key words: spirituality;

spiritual care; attitudes; beliefs;

nurses

Ključne besede: spiritualnost;

spiritualna oskrba; stališča;

prepričanja; medicinske sestre Tanja Montanič Starc, MSN, RN; Valdoltra Orthopedic Hospital, Jadranska cesta 31, 6280 Ankaran, Slovenia Assistant Professor Igor Karnjuš, PhD, MSN, RN;

University of Primorska, Faculty of Health Sciences, Polje 42, 6310 Izola, Slovenia Assistant Professor Katarina Babnik, MSc, BSc; University of Ljubljana, Faculty of Arts, Department of Psychology, Aškerčeva 2, 1000 Ljubljana, Slovenia

Correspondence e-mail / Kontaktni e-naslov:

katarina.babnik@ff.uni-lj.si

Original scientific article / Izvirni znanstveni članek

Attitudes towards spirituality and spiritual care among nursing employees in

In document Obzornik zdravstvene nege (Strani 30-33)