Azucena Pedraz-Marcos

Interpersonal relations and nurses' job satisfaction through knowledge and usage of relational skills.

BACKGROUND/RATIONALEnMany interpersonal labor disputes stem from the lack of communication skills and the relational problems in the interactions between health professionals.nnnAIMS/METHODSnA qualitative study was conducted in a Spanish hospital in order to get to know how the communicative interaction between hospital nurses is like in relation to the nurses interpersonal interaction and communication skills developed in their working relationships. Twenty-one hospital nurses between 29 and 55 years old, working in different wards, were interviewed. Open-ended interview discourses were transcribed verbatim and analyzed using qualitative content analysis.nnnRESULTSnThe following four key themes were analyzed: communication and sender; communication and awareness of who has the problem; non-verbal communication; communication and recipient.nnnCONCLUSIONnThe results of this study highlight the need to broaden nurses relational-communication skills in order to increase job satisfaction.

Family care of people with severe mental disorders: an integrative review

OBJECTIVE: to analyze the scientific literature on home-based family care of people with severe mental illness. METHOD: integrative review of 14 databases (CINALH, Cochrane Plus, Cuidatge, CUIDEN, Eric, IBECS, EMI, ISOC, JBI COnNECT, LILACS, PsycINFO, PubMed, SciELO, and Scopus) searched with the key words family caregivers, severe mental illness, and home between 2003 and 2013. RESULTS: of 787 articles retrieved, only 85 met the inclusion criteria. The articles appeared in 61 journals from different areas and disciplines, mainly from nursing (36%). The countries producing the most scientific literature on nursing were Brazil, the UK, and the US, and authorship predominantly belonged to university centers. A total of 54.12% of the studies presented quantitative designs, with descriptive ones standing out. Work overload, subjective perspectives, and resources were the main topics of these papers. CONCLUSIONS: the international scientific literature on home-based, informal family care of people with severe mental disorder is limited. Nursing research stands out in this field. The prevalent topics coincide with the evolution of the mental health system. The expansion of the scientific approach to family care is promoted to create evidence-based guidelines for family caregivers and for the clinical practice of professional caregivers.OBJECTIVE: to analyze the scientific literature on home-based family care of people with severe mental illness. METHOD: integrative review of 14 databases (CINALH, Cochrane Plus, Cuidatge, CUIDEN, Eric, IBECS, EMI, ISOC, JBI COnNECT, LILACS, PsycINFO, PubMed, SciELO, and Scopus) searched with the key words family caregivers, severe mental illness, and home between 2003 and 2013. RESULTS: of 787 articles retrieved, only 85 met the inclusion criteria. The articles appeared in 61 journals from different areas and disciplines, mainly from nursing (36%). The countries producing the most scientific literature on nursing were Brazil, the UK, and the US, and authorship predominantly belonged to university centers. A total of 54.12% of the studies presented quantitative designs, with descriptive ones standing out. Work overload, subjective perspectives, and resources were the main topics of these papers. CONCLUSIONS: the international scientific literature on home-based, informal family care of people with severe mental disorder is limited. Nursing research stands out in this field. The prevalent topics coincide with the evolution of the mental health system. The expansion of the scientific approach to family care is promoted to create evidence-based guidelines for family caregivers and for the clinical practice of professional caregivers.ste es un articulo de acceso aierto distriuido ao los trminos de la Licencia reatie ommons econocimiento-o omercial -sta licencia ermite a otros distriuir remezclar retocar crear a artir de tu ora de modo no comercial a esar de ue sus nueas oras GHEHQVLHPSUHPHQFLRQDUWHPDQWHQHUVHVLQ?QHVFRPHUFLDOHVx0fQRHVWiQoliados a licenciar sus oras deriadas ao las mismas condicionesCorrespondencia:Maria Juan-PorcarDepartament d’Infermeria. Universitat Jaume IAv. Vicent Sos Baynat, s/nFacultat de Ciencies de la Salut12071, Castello de la Plana, EspanaE-mail: majuan@uji.es

Midwives’ experience of delivery care in late foetal death: A qualitative study

AIMnTo explore the experiences of midwives regarding the attention given during labour in late foetal death.nnnDESIGNnQualitative research using a hermeneutic-interpretative phenomenological approach was carried out. Data were collected through focus groups, audio-recorded, transcribed verbatim, and analyzed using the van Manen approach.nnnSETTING AND PARTICIPANTSnThree focus group with a purposive sample of 18 midwives from 10 public hospitals and 1 primary health centre in Madrid, Spain were conducted.nnnFINDINGSnTwo main themes were identified: Professionals for Life Not Death; and Organizing the Work Without Guidelines. Midwives felt there is a lack of social awareness related to the possibility of antepartum death that keeps the mourning hidden and affects the midwives´ practice during the late foetal death process. Midwives recognize difficulties in coping with a process that ends in death: organizations are not prepared for these events (not suitable rooms), there is lack of training to cope with them, and lack of continuity in the attention received by the parents when they are discharged.nnnCONCLUSIONnMidwives need to be trained in mourning and communication skills to guarantee good practice when attending late foetal death. Intervention guidelines and support mechanisms are required, not only for the parents, but also for the healthcare professionals.

The life and death construct in heart transplant patients

Background: The technological advances of medicine, and specifically the techniques of organ transplants, have allowed crossing the border of life and death. This is especially relevant in the case of heart transplant, since its symbolism requires a redefinition not only of these traditional concepts, but also of the body or of one’s own identity. Aims: To explore the experiences of patients after receiving a heart from a donor. Methods: A phenomenological qualitative approach, through Merleau Ponty and Levinas perspectives, was conducted to capture the subjective experiences of heart transplant patients. We conducted 22 in-depth interviews: 12 with heart transplant patients from two hospitals in Madrid (Spain), and 10 with relatives who lived with them. Results: The line between life and death is erased for heart transplant patients. Three main themes arose from the analysis: towards death, the frontier between life and death, and towards life. The need to redefine the concepts of life and death is structured around issues such as the thought of facing one’s own death and the concept of gift and resurrection. Conclusion: Organ transplant techniques open the door to a new definition of death, of the identity of the body and its parts and the limits of life. Considering the cultural, legal, psychological, social and symbolic elements involved in the heart transplant process, a qualitative approach provides new avenues of understanding the clinical process from the patients’ perspective.

Aproximación a la vivencia de las personas en el proceso de una colostomía

OBJECTIVEnThe purpose of this paper is to explore the experience of people who go through the process of a colostomy.nnnMETHODnMethodological approach of qualitative type and with a phenomenological framework, through in-depth interviews. Six women and 12 men, between 38 and 86 years of age, were interviewed before and after surgery, between 3 and 6 months after the intervention. The discourses were recorded and transcribed verbatim and analyzed following the 3 stages of Taylor and Bogdan: finding in progress, data coding and refinement of the understanding of the subject of study, and relativisation of the findings.nnnRESULTSnColon cancer and colostomy involve changes in a persons experience of privacy, and the connotations of stigma that can be attached to this vital element. It has been observed that the perception of deteriorated body image does not relate to an individuals gender, but rather to their age, work situation, type of work and social and cultural context.nnnCONCLUSIONSnThe reconstruction of an individuals relationship map, as a strategy for adapting to the process, is interrelated with social, cultural, and stoma management factors, and with their capacity for effective problem solving.

Cuidado familiar de pessoas com doenças mentais graves: uma revisão integrativa

OBJECTIVE: to analyze the scientific literature on home-based family care of people with severe mental illness. METHOD: integrative review of 14 databases (CINALH, Cochrane Plus, Cuidatge, CUIDEN, Eric, IBECS, EMI, ISOC, JBI COnNECT, LILACS, PsycINFO, PubMed, SciELO, and Scopus) searched with the key words family caregivers, severe mental illness, and home between 2003 and 2013. RESULTS: of 787 articles retrieved, only 85 met the inclusion criteria. The articles appeared in 61 journals from different areas and disciplines, mainly from nursing (36%). The countries producing the most scientific literature on nursing were Brazil, the UK, and the US, and authorship predominantly belonged to university centers. A total of 54.12% of the studies presented quantitative designs, with descriptive ones standing out. Work overload, subjective perspectives, and resources were the main topics of these papers. CONCLUSIONS: the international scientific literature on home-based, informal family care of people with severe mental disorder is limited. Nursing research stands out in this field. The prevalent topics coincide with the evolution of the mental health system. The expansion of the scientific approach to family care is promoted to create evidence-based guidelines for family caregivers and for the clinical practice of professional caregivers.OBJECTIVE: to analyze the scientific literature on home-based family care of people with severe mental illness. METHOD: integrative review of 14 databases (CINALH, Cochrane Plus, Cuidatge, CUIDEN, Eric, IBECS, EMI, ISOC, JBI COnNECT, LILACS, PsycINFO, PubMed, SciELO, and Scopus) searched with the key words family caregivers, severe mental illness, and home between 2003 and 2013. RESULTS: of 787 articles retrieved, only 85 met the inclusion criteria. The articles appeared in 61 journals from different areas and disciplines, mainly from nursing (36%). The countries producing the most scientific literature on nursing were Brazil, the UK, and the US, and authorship predominantly belonged to university centers. A total of 54.12% of the studies presented quantitative designs, with descriptive ones standing out. Work overload, subjective perspectives, and resources were the main topics of these papers. CONCLUSIONS: the international scientific literature on home-based, informal family care of people with severe mental disorder is limited. Nursing research stands out in this field. The prevalent topics coincide with the evolution of the mental health system. The expansion of the scientific approach to family care is promoted to create evidence-based guidelines for family caregivers and for the clinical practice of professional caregivers.ste es un articulo de acceso aierto distriuido ao los trminos de la Licencia reatie ommons econocimiento-o omercial -sta licencia ermite a otros distriuir remezclar retocar crear a artir de tu ora de modo no comercial a esar de ue sus nueas oras GHEHQVLHPSUHPHQFLRQDUWHPDQWHQHUVHVLQ?QHVFRPHUFLDOHVx0fQRHVWiQoliados a licenciar sus oras deriadas ao las mismas condicionesCorrespondencia:Maria Juan-PorcarDepartament d’Infermeria. Universitat Jaume IAv. Vicent Sos Baynat, s/nFacultat de Ciencies de la Salut12071, Castello de la Plana, EspanaE-mail: majuan@uji.es

Cuidado familiar de la persona con trastorno mental grave: una revisión integradora

OBJECTIVE: to analyze the scientific literature on home-based family care of people with severe mental illness. METHOD: integrative review of 14 databases (CINALH, Cochrane Plus, Cuidatge, CUIDEN, Eric, IBECS, EMI, ISOC, JBI COnNECT, LILACS, PsycINFO, PubMed, SciELO, and Scopus) searched with the key words family caregivers, severe mental illness, and home between 2003 and 2013. RESULTS: of 787 articles retrieved, only 85 met the inclusion criteria. The articles appeared in 61 journals from different areas and disciplines, mainly from nursing (36%). The countries producing the most scientific literature on nursing were Brazil, the UK, and the US, and authorship predominantly belonged to university centers. A total of 54.12% of the studies presented quantitative designs, with descriptive ones standing out. Work overload, subjective perspectives, and resources were the main topics of these papers. CONCLUSIONS: the international scientific literature on home-based, informal family care of people with severe mental disorder is limited. Nursing research stands out in this field. The prevalent topics coincide with the evolution of the mental health system. The expansion of the scientific approach to family care is promoted to create evidence-based guidelines for family caregivers and for the clinical practice of professional caregivers.OBJECTIVE: to analyze the scientific literature on home-based family care of people with severe mental illness. METHOD: integrative review of 14 databases (CINALH, Cochrane Plus, Cuidatge, CUIDEN, Eric, IBECS, EMI, ISOC, JBI COnNECT, LILACS, PsycINFO, PubMed, SciELO, and Scopus) searched with the key words family caregivers, severe mental illness, and home between 2003 and 2013. RESULTS: of 787 articles retrieved, only 85 met the inclusion criteria. The articles appeared in 61 journals from different areas and disciplines, mainly from nursing (36%). The countries producing the most scientific literature on nursing were Brazil, the UK, and the US, and authorship predominantly belonged to university centers. A total of 54.12% of the studies presented quantitative designs, with descriptive ones standing out. Work overload, subjective perspectives, and resources were the main topics of these papers. CONCLUSIONS: the international scientific literature on home-based, informal family care of people with severe mental disorder is limited. Nursing research stands out in this field. The prevalent topics coincide with the evolution of the mental health system. The expansion of the scientific approach to family care is promoted to create evidence-based guidelines for family caregivers and for the clinical practice of professional caregivers.ste es un articulo de acceso aierto distriuido ao los trminos de la Licencia reatie ommons econocimiento-o omercial -sta licencia ermite a otros distriuir remezclar retocar crear a artir de tu ora de modo no comercial a esar de ue sus nueas oras GHEHQVLHPSUHPHQFLRQDUWHPDQWHQHUVHVLQ?QHVFRPHUFLDOHVx0fQRHVWiQoliados a licenciar sus oras deriadas ao las mismas condicionesCorrespondencia:Maria Juan-PorcarDepartament d’Infermeria. Universitat Jaume IAv. Vicent Sos Baynat, s/nFacultat de Ciencies de la Salut12071, Castello de la Plana, EspanaE-mail: majuan@uji.es