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      The influencing factors of clinical nurses’ problem solving dilemma: a qualitative study

      research-article
      a , b , a , c
      International Journal of Qualitative Studies on Health and Well-being
      Taylor & Francis
      Nurse, problem solving, qualitative research

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          ABSTRACT

          Purpose

          Problem solving has been defined as “a goal-directed sequence of cognitive and affective operations as well as behavioural responses to adapting to internal or external demands or challenges. Studies have shown that some nurses lack rational thinking and decision-making ability to identify patients’ health problems and make clinical judgements, and have poor cognition and response to some clinical problems, easy to fall into problem-solving dilemma. This study aimed to understand the influencing factors of clinical nurses’ problem solving dilemma, to provide a basis for developing training strategies and improving the ability of clinical nurses in problem solving.

          Methods

          A qualitative research was conducted using in-depth interviews from August 2020 to December 2020. A total of 14 participants from a tertiary hospital in Shanghai, China were recruited through purposive sampling combined with a maximum variation strategy. Data were analysed with the conventional content analysis method.

          Results

          Three themes and seven subthemes were extracted: nurse’s own factors (differences in knowledge structure and thinking, differences in professional values, poor strain capacity); improper nursing management (low sense of organizational support, contradiction between large workload and insufficient manpower allocation); patient factors (the concept of emphasizing medicine and neglecting to nurse, individual differences of patients).

          Conclusion

          The influencing factors of clinical nurses’ problem-solving dilemma are diverse. Hospital managers and nursing educators should pay attention to the problem-solving of clinical nurses, carry out a series of training and counselling of nurses by using the method of situational simulation, optimize the nursing management mode, learn to use new media technology to improve the credibility of nurses to provide guarantee for effective problem-solving of clinical nurses.

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          Most cited references28

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          Patients' perceptions of their experiences with nurse-patient communication in oncology settings: A focused ethnographic study

          Background The nursing shortage and its impact on patient care are well-documented global issues. Patients living with cancer as a chronic illness have many psychosocial problems and often lack adequate support as a result of ineffective nurse-patient communication. A review of the literature on factors influencing the delivery of psychosocial care to cancer patients indicates that the delivery of psychosocial care in routine cancer nursing within a biomedical healthcare system has not been widely explored. Objective To explore patients’ perceptions of their experiences with nurse-patient communication in an oncological clinical environment. Method A focused ethnographic study was undertaken in two oncology wards of a hospital in Hong Kong. Data were collected through observations of the ward environment, the activities and instances of nurse-patient communication, semi-structured interviews with patients, and a review of nursing documents. Results Two main themes were identified: 1. Nurses’ workload and the environment and 2. Nurse-patient partnership and role expectations. Within these two themes were related subthemes on: Sympathy for the busy nurses; Prioritizing calls to the nurses; Partnership through relationship; Nurses’ role in psychosocial care; and Reduction of psychosocial concerns through physical care. Conclusions Many cancer patients do not expect to receive psychosocial care in the form of emotional talks or counseling from busy nurses, but appreciate the attention paid by nurses to their physiological and physical needs. Nurse-patient partnerships in cancer care may reduce the potential workload of nurses. The psychosocial needs of cancer patients could be optimized by providing good physical care through effective communication within a time-constrained oncology setting.
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            Existential‐phenomenological alternatives for psychology

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              Second Victim Support: Nurses' Perspectives of Organizational Support After an Adverse Event.

              The purpose of this study was to describe hospital nurses' experiences with organizational support after an adverse event (AE).
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                Author and article information

                Journal
                Int J Qual Stud Health Well-being
                Int J Qual Stud Health Well-being
                International Journal of Qualitative Studies on Health and Well-being
                Taylor & Francis
                1748-2623
                1748-2631
                18 September 2022
                2022
                18 September 2022
                : 17
                : 1
                Affiliations
                [a ] Department of Nursing, Shanghai Pulmonary Hospital, Tongji University, Shanghai, China;
                [b ] Tongji University School of Medicine, Shanghai, China;
                [c ] Beijing Tiantan Hospital, Capital Medical University, Beijing, China;
                Author notes
                CONTACT Yu Mei Li 1500179@ 123456tongji.edu.cn 507 Zhengmin Road, Yangpu District, China
                Article
                2122138
                10.1080/17482631.2022.2122138
                9518267
                36120892
                f4522a95-0320-444e-8f65-d4c27aca18e1
                © 2022 The Author(s). Published by Informa UK Limited, trading as Taylor & Francis Group.

                This is an Open Access article distributed under the terms of the Creative Commons Attribution License ( http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

                Page count
                Figures: 0, Tables: 2, References: 30, Pages: 1
                Product
                Categories
                Research Article
                Empirical Studies

                Health & Social care
                nurse,problem solving,qualitative research
                Health & Social care
                nurse, problem solving, qualitative research

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