Demoralization in medical illness: Feasibility and acceptability of a pilot educational intervention for inpatient oncology nurses
| Autor: | Izaskun Ripoll, Alison M. Heru, Benjamin Brewer, Jennifer M Caspari, Leigh Nathan, Jean Youngwerth |
|---|---|
| Rok vydání: | 2017 |
| Předmět: |
Oncology
Adult Male medicine.medical_specialty Colorado Psychological intervention Nurses Job Satisfaction 03 medical and health sciences 0302 clinical medicine McNemar's test Education Nursing Continuing Medical illness Internal medicine Intervention (counseling) Surveys and Questionnaires medicine Humans 030212 general & internal medicine Nurse education Burnout Professional General Nursing Depression (differential diagnoses) business.industry Professional development Oncology Nursing General Medicine Middle Aged Test (assessment) Psychiatry and Mental health Clinical Psychology 030220 oncology & carcinogenesis Female business |
| Zdroj: | Palliativesupportive care. 16(5) |
| ISSN: | 1478-9523 1478-9515 |
| Popis: | Objective:Demoralization is a common problem among medical inpatients with such serious health problems as cancer. An awareness of this syndrome, a knowledge of what defines it, and a plan for how to intervene are limited among nursing teams. Nurses are uniquely poised to efficiently provide brief interventions that address demoralization in their patients. To our knowledge, there are no interventions that train nurses to distinguish and treat demoralization in their patients. The objective of the present study was to determine the acceptability, feasibility, and impact of a novel educational intervention for nurses.Method:An educational training video was created and delivered to staff nurses (N = 31) at oncology staff meetings to test the feasibility and acceptability of this intervention. Assessments of nurses' knowledge about demoralization and intervention methods were administered immediately before and after the training intervention and through a web-based survey 6 weeks post-intervention. McNemar's test for dependent categorical data was utilized to evaluate change in survey responses at the three timepoints.Results:Nurses' understanding of the concept of demoralization and appropriate interventions significantly improved by 30.3% from pre- to posttest (p ≤ 0.0001). These improvements persisted at 6 weeks post-intervention (p ≤ 0.0001). At 6-week follow-up, 74.2% of participants agreed or strongly agreed that the training had positively changed their nursing practice, 96.8% reported that this training benefited their patients, and 100% felt that this training was important for the professional development of nurses.Significance of results:This pilot intervention appeared feasible and acceptable to nurses and resulted in increased understanding of demoralization, improved confidence to intervene in such cases, and an enhanced sense of professional satisfaction among inpatient oncology floor nurses. |
| Databáze: | OpenAIRE |
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