Nurses feel shame and guilt because they see clearly that there is no teamwork and this affects the caring process. Praising emotions

Sun N, Shi S, Jiao D, Song R, Ma L, Wang H, et al. A Qualitative Study on the Psychological Experience of Caregivers of COVID-19 Patients. American Journal of Infection Control. 2020. pmid:32334904 Zhu N, Zhang D, Wang W, Li X, Yang B, Song J, et al. A novel coronavirus from patients with pneumonia in China, 2019. New England Journal of Medicine. 2020. pmid:31978945 Kortesluoma R.-L, Nikkonen M. ‘The most disgusting ever’: Children's pain. Descriptions and views of the purpose of pain. Journal of Child Health Care. 2006; 10(3):213–227. [ PubMed] [ Google Scholar] But using targeted communication strategies, nurses may overcome these barriers. Particularly, nurse communication skills should focus on: Similarly, a nurse who is attentive in her listening can understand an underlying reason for a patient’s concerns and fears about a procedure. The patient might be resistant to the hip replacement because she is nervous about adverse side effects, for example.Shaukat N, Ali DM, Razzak J. Physical and mental health impacts of COVID-19 on healthcare workers: A scoping review. International Journal of Emergency Medicine. 2020;13(1):1–8. pmid:31931721 After all, some studies have indicated that nurses who are distracted by EHR documentation may see lower patient satisfaction scores, although those findings may be less salient now that the EHR has become a mainstay in practice. Furthermore the findings in this study demonstrate that nurses have different opinions about restraining children during NRMP, and whether this can be supportive or not. Arguably there is an ambiguity as to how this is expressed. It is consistent with previous research by Brenner, Parahoo, and Taggart ( 2007) and Karen ( 2010). The main difference is the focus on consent and the strength used to restrain. Supportive holding requires consent and no strength is necessary, but during restraint nurses act without consent from the child and a certain amount of strength is used. The limits of this are difficult to define (Karen, 2010; Royal College of Nursing, 2003). We want to emphasize that this reasoning is only applicable if the child is not in a life-threatening condition.

What is not likely to evolve is the importance of a good patient relationship and healthcare experience, and nurses are integral to that. With nurses on the frontlines of patient care, it will be essential that they understand how to deliver that positive experience through good communication. Furthermore, the nurses in the present study have long professional experience, and this could have had an impact on the result. The current study shows that nurses’ experiences can affect their ability to support children during NRMP. Moreover, our hopes had been to recruit an equal number of men and women to the study, but as pediatric care is dominated by women the respondents here were only women. Supporting children requires an adjustment to the amount of information the children should receive, based on their age, illness, degree of participation, experience, fear, and ability to focus. Younger children at the age of 3 to 4 years, with no prior experience of NRMP, will thus receive limited information; similarly children with more experience will be getting more detailed information. Nurses also explain that children who are anxious receive less information while open and curious children can be given more explanation. This is done by the nurses talking to the children so that the parents can hear them: They may feel that the child is screaming unnecessarily.

Consistent with the findings of a previous study [ 25], facing social stigma and discrimination, mainly rejection by others related to COVID-19 care found in this study, are common issues for nurses worldwide [ 26]. Stigma has led to label nurses as ‘disease carriers’ [ 24] and limited social interaction and isolation among nurses. The stigma associated with COVID-19 is a predictor of compassion satisfaction, burnout, and compassion fatigue among health workers [ 25]. The present study reported not only the behaviour of the general public but also the behaviour of staff who did not work in the COVID-19 frontline contributed to stigmatisation and discrimination. To minimise the possible stigma and discrimination, improving public awareness needs to be expanded. Hartog CS, Benbenishty J. Understanding nurse-physician conflicts in the ICU. Intensive Care Med. 2015;41(2):331–3. Qualitative studies do not attempt to generalize results and therefore have some limitations. The present study was limited to a small sample size, which is characteristic of qualitative methods. The purpose of using the content analysis process was to interpret experiences based on an in-depth analysis of single cases rather than to generalise across a large number of cases. Dempsey has boiled her own communication strategy down to about 56 seconds, a timeline all nurses should be able to follow, she said. Data were gathered using interviews. The role as interviewer was that of an encouraging, non-normative neutral facilitator so that the participants could explain themselves as fully as possible [ 21]. Each interview took around 90 min, was recorded on an audio file and transcribed verbatim. Transcriptions have been made after each interview to provide a clear recollection of the interview; to increase the reliability, parts of the interviews have been listened to many times. To avoid interference during data collection, this was done outside the care units.

Ivanoff SD, Hultberg J. Understanding the multiple realities of everyday life: basic assumptions in focus-group methodology. Scand J Occup Ther. 2006;13(2):125–32. Cohen L, Manimala R, Blount R. Easier said than done: What parents say they do and what they do during children's immunizations. Children's Health Care. 2000; 29(2):79–87. [ Google Scholar] The findings are restricted to a pediatric care setting. Adding participants from outside a pediatric care unit may perhaps have contributed to additional findings pertaining to children receiving care in other care settings. Unfortunately we were only able to get respondents from the pediatric unit.

OVERVIEW

Fernandez R, Lord H, Halcomb E, Moxham L, Middleton R, Alananzeh I, et al. Implications for COVID-19: a systematic review of nurses’ experiences of working in acute care hospital settings during a respiratory pandemic. International Journal of Nursing Studies. 2020:103637. pmid:32919358 BATHE uses open-ended conversations between patients and nurses to build strong relationships that can often go beyond clinical needs. Understanding who the patient is as a person helps the nurse connect with the patient and make her feel more comfortable during a potentially tumultuous care encounter. Another thing is asking patients whether what you've said is understood. So, as I'm going along, I will just say, "Does that make sense?" Or even asking patients what do they understand of what you have said? Asking them to repeat the information just to make sure that they understand.

As Mohr ( 2010) claims, the decisions that nurses make in their work must rest on four ethical principles: autonomy, beneficence, justice, and non-maleficence. Mohr implies that their work can be seen as creating therapeutic relationships between all those involved in the caring process. This is highlighted in our study and the therapeutic relationship is thus found between the children, the parents, and the nurses.Mesquita B, Frijda NH. Cultural variations in emotions: a review. Psychol Bull. 1992;112(2):179–204. Nurses suggest that there are external constraints that cause these situations, such as the institutional structure and its bureaucratisation, as well as the strict hierarchy that exists among professionals in hospital. This situation has its origins in a power structure, more or less open, and, in other cases, invisible influences in the nursing/caring process. To do good from a nursing perspective is to take account of dimensions including the relationship between the patient and family. This perspective often differs from other sciences which focus on the biomedical perspective [ 11].