Volume 30, Issue 1 (Winter 2022)                   Avicenna J Nurs Midwifery Care 2022, 30(1): 12-19 | Back to browse issues page

XML Persian Abstract Print

Download citation:
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:
Parsapoor H, Talebi M, Mousivand Z, Kamyari N, Nankali N, Damavandi M, et al . Effect of Regular Nursing Rounds Based on Ethical Care on Patient Satisfaction with Nursing Care Quality and Patient Anxiety: a Quasi-Experimental Study. Avicenna J Nurs Midwifery Care 2022; 30 (1) :12-19
URL: http://nmj.umsha.ac.ir/article-1-2349-en.html
Effect of Regular Nursing Rounds Based on Ethical Care on Patient Satisfaction with Nursing Care Quality and Patient Anxiety: a Quasi-Experimental Study
Hamideh Parsapoor1 , Mitra Talebi1 , Zeinab Mousivand1 , Naser Kamyari2 , Naeime Nankali1 , Mona Damavandi1 , Fateme Najafi1 , Nasrin Zamani1 , Mahnaz Alizade3 , Narges Mohamadi parsa * 4, Elham Mahmoodi1
1- Clinical Research Development Unit of Fatemiyeh Hospital, Department of Gynecology, School of Medicine, Hamadan University of Medical Sciences, Hamadan, Iran
2- PHD student in Biostatistics, Department of Biostatistics, School of Public Health, Hamadan University of Medical Sciences, Hamadan, Iran
3- Department of Medical Library and Information Science, School of Paramedicine, Hamadan University of Medical Sciences, Hamadan, Iran
4- Clinical Research Development Unit of Beasat Hospital Department of Gynecology, School of Medicine, Hamadan University of Medical Sciences, Hamadan, Iran , nmohamadi646@gmail.com
Keywords: Anxiety, Clinical Round, Nursing Care, Patient Satisfaction
Persian Full-Text [PDF 701 kb]   (1013 Downloads)     |   Abstract (HTML)  (2633 Views)
Extended Abstract:   (744 Views)
Background and Objective
Considering the importance of respecting the rights and satisfaction of patients, as well as the destructive role of anxiety in patients' recovery processes, the present study aimed to evaluate the effect of regular nursing rounds based on ethical care on the level of satisfaction and anxiety among hospitalized patients. In the majority of cases, the duties of the nursing staff are currently limited to drug codex and intravenous injections; moreover, the lack of effective communication as a service requirement in the nurse-patient relationship is clearly observed, while the nurse can easily provide the patient's presence at the bedside. Care, by asking the patient about the disease and the need for personal care, provides the formation of an appropriate relationship. The development of a universal code of ethics with the topics of confidentiality, respect for patient rights, and honesty highlights the need for the nurse to support the patient and adhere to ethics in providing care. Failure to pay attention to these issues creates conditions that prevent the patient from expressing his/her problems, causing considerable psychological and physical harm to hospitalized patients; therefore, the provision of ethical care is of utmost importance in patient satisfaction. The present study aimed to assess the effect of regular nursing rounds based on ethical care on patients' levels of anxiety and satisfaction with the quality of nursing care.
Materials and Methods
This quasi-experimental study was conducted based on a pre-test-post-test design in Fatemieh Hospital in Hamadan, Iran. A total of 100 hospitalized patients were assigned to two groups of control and intervention (n=50 in each group), and patients in the intervention group received a clinical round based on ethical care, in addition to routine care. The control group only received routine care. Each intervention lasted three days. In this way, the intervention group received a comfort round from the first day to the third day, which includes care and disobedience every two hours, examining pain and pain control interventions,  patients’ results, moral needs, and the moral care they received. The control group received routine nursing care. Finally, the difference between the mean scores of satisfaction with nursing services and the anxiety of the two groups before and after the intervention was analyzed in SPSS software (version 20) using descriptive and inferential tests.
Results
A total of 100 pairs of questionnaires were provided before and after the intervention (n=50 in each group). The two groups of intervention and control were not significantly different in terms of underlying variables and disease and were homogeneous. In the intervention group, after receiving the relevant training, anxiety decreased and the level of patients' satisfaction with the quality of nursing care increased significantly, as compared to patients in the control group; therefore, the intervention was effective (P<0.001).
Conclusion
The present study aimed to assess the effect of regular nursing rounds based on ethical care on hospitalized patients’ levels of anxiety and satisfaction with the quality of nursing care. Based on the results,  respect for the patient, which was performed in the present study as a regular nursing round based on ethical care, not only increases patients' satisfaction with nursing services but also reduces the patient's anxiety about hospitalization, making them more relaxed as one of It leads to the most vulnerable social groups physically, mentally and socially. The intervention performed in this study significantly increased patients' satisfaction with nursing services in all four areas of professional knowledge and skills, communication, nursing ethics, and patient education. As evidenced by the results of this study, the allocation of sufficient time (once every two hours) to the patient was a golden opportunity to honor patients, communicate effectively with them, and ultimately provide them with appropriate training, resulting in increased satisfaction and reduced patient anxiety. Considering the effect of clinical rounds based on ethical care on anxiety and patients' satisfaction with the quality of nursing care, it is recommended to be used as an intervention in therapeutic wards.
Type of Study: Original Research | Subject: Challenges of ethics in care
Received: 2021/06/26 | Accepted: 2021/10/22 | Published: 2022/05/15
References
1. McCarthy J, Gastmans C. Moral distress: A review of the argument-based nursing ethics literature. Nurs Ethics. 2015;22(1):131-52. [DOI] [PubMed]
2. Nursing IoMCotRWJFIotFo. The future of nursing: Leading change, advancing health: National Academies Press Washington, DC; 2011.
3. Bowles N, Mackintosh C, Torn A. Nurses’ communication skills: an evaluation of the impact of solution‐focused communication training. J Adv Nurs. 2001;36(3):347-54. [DOI] [PubMed]
4. Tluczek A, Twal ME, Beamer LC, Burton CW, Darmofal L, Kracun M, et al. How american nurses association code of ethics informs genetic/genomic nursing. Nurs Ethics. 2019;26(5):1505-1517. [DOI] [PubMed]
5. Khatiban M, Falahan SN, Amini R, Farahanchi A, Soltanian A. Lecture-based versus problem-based learning in ethics education among nursing students. Nurs Ethics. 2019;26(6):1753-1764. [DOI] [PubMed]
6. Naylor MD, Kurtzman ET. The role of nurse practitioners in reinventing primary care. Health Aff. 2010;29(5):893-9. [DOI] [PubMed]
7. Udod SA, Cummings G, Care WD, Jenkins M. Impact of role stressors on the health of nurse managers: A western Canadian context. J Nurs Adm. 2017;47(3):159-64. [DOI] [PubMed]
8. Udod S, Cummings GG, Care WD, Jenkins M. Role stressors and coping strategies among nurse managers. Leadersh Health Serv. 2017;30(1):29-43. [DOI] [PubMed]
9. Vryonides S, Papastavrou E, Charalambous A, Andreou P, Eleftheriou C, Merkouris A. Ethical climate and missed nursing care in cancer care units. Nurs Ethics. 2018;25(6):707-23. [DOI] [PubMed]
10. Masters K. Role Development Professional Nursing Practice: Jones & Bartlett Learning; 2018.
11. Parsapoor A, Malekafzali H, Alaeddini F, Larijani B. The necessity of observing patients' right: surveying patients', physicians' and nurses' attitudes around it. J Med Ethics Hist Med. 2009;2(4):79-90. [PubMed]
12. Jouybari L, Haghdoost Oskouee S, Ahmadi F. Comforting nurse: patients’ experiences and perceptions. RJMS. 2005;12(45):59-68.
13. King AI, Boyd ML, Dagley L, Raphael DL. Implementation of a gerontology nurse specialist role in primary health care: health professional and older adult perspectives. J Clin Nurs. 2018;27(3-4):807-18. [DOI] [PubMed]
14. Hyun MS, De Gagne JC, Park J, Kang HS. Incivility experiences of nursing students in South Korea. Nurs Ethics. 2018;25(2):186-98. [DOI] [PubMed]
15. Bandman EL, Bandman B. Nursing ethics through the life span; 2002.
16. Negarandeh R, Bahabadi AH, Mamaghani JA. Impact of regular nursing rounds on patient satisfaction with nursing care. Asian Nurs Res. 2014;8(4):282-5. [DOI] [PubMed]
17. Milutinović D, Simin D, Brkić N, Brkić S. The patient satisfaction with nursing care quality: the psychometric study of the Serbian version of PSNCQ questionnaire. Scand J Caring Sci. 2012;26(3):598-606. [DOI] [PubMed]
18. Negarandeh R, Mohammadi S, Zabolypour S, Arazi Ghojegh T. Relationship between quality of senior nursing students' caring behaviors and patients' satisfaction. Hayat J 2012;18(3):10-21.
19. Zigmond AS, Snaith RP. The hospital anxiety and depression scale. Acta Psychiatr Scand. 1983;67(6): 361-70. [DOI] [PubMed]
20. Kaviani H, Seyfourian H, Sharifi V, Ebrahimkhani N. Reliability and validity of anxiety and depression hospital scales (HADS): Iranian patients with anxiety and depression disorders. Tehran Univ Med J. 2009; 67(5):379-85.
21. Parsaour A, Bagheri A, Ardeshir Larijani M. Charter of Patients' Rights in Iran. Iranian Journal of Medical Ethics and History of Medicine.2010,3;39-47.
22. Mousavi A. The role of clinical governance in achieving the charter of patient rights. Medical Ethics. 2012;5(18):161-78.
23. Parsapoor A, Bagheri A, Larijani B. Patient's rights charter in Iran. Acta Med Iran. 2014;52(1):24-8. [PubMed]
24. Negarande R, Mohamadi S, Zabolipoor T. Investigating the correlation between the quality of caring behaviors of nursing students and patient satisfaction. HAYAT. 1391;18(3):11-21.
25. Krepper R, Vallejo B, Smith C, Lindy C, Fullmer C, Messimer S, et al. Evaluation of a standardized hourly rounding process (SHaRP). J Healthc Qual. 2014;36(2):62-9. [DOI] [PubMed]
26. Shin N, Park J. The effect of intentional nursing rounds based on the care model on patients' perceived nursing quality and their satisfaction with nursing services. Asian Nurs Res. 2018;12(3):203-8. [DOI] [PubMed]
27. Alavi HR, Askaripur MR. The relationship between self-esteem and job satisfaction of personnel in government organizations. Public Pers Manage. 2003;32(4):591-600. [DOI]
28. Clark JW, 2nd, Fox PA, Schneider HG. Feedback, test anxiety and performance in a college course. Psychol Rep. 1998;82(1):203-8. [DOI] [PubMed]
29. Cui Y, Xia L, Li L, Zhao Q, Chen S, Gu Z. Anxiety and depression in primary Sjögren's syndrome: a cross-sectional study. BMC Psychiatry. 2018;18(1):131. [DOI]
30. Cross WM, Moore AG, Sampson T, Kitch C, Ockerby C. Implementing clinical supervision for ICU Outreach Nurses: a case study of their journey. Aust Crit Care. 2012;25(4):263-70. [DOI] [PubMed]
31. Cummins A. Clinical supervision: The way forward? A review of the literature. Nurse Educ Pract. 2009;9(3):215-20. [DOI] [PubMed]
32. Lamiani G, Furey A. Teaching nurses how to teach: An evaluation of a workshop on patient education. Patient Educ Couns. 2009;75(2):270-3. [DOI] [PubMed]
33. Funderburk JS, Fielder RL, DeMartini KS, Flynn CA. Integrating behavioral health services into a university health center: Patient and provider satisfaction. Fam Syst Health. 2012;30(2):130-40. [DOI] [PubMed]
Add your comments about this article : Your username or Email:
CAPTCHA
Send email to the article author

Rights and permissions
Creative Commons License This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.

© 2024 CC BY-NC 4.0 | Avicenna Journal of Nursing and Midwifery Care

Designed & Developed by : Yektaweb