3 research outputs found
Counselling support for critically ill patients and their families following a critical care experience: a qualitative study
Get PDFAbstract
Background
Patients recovering from the critical illness and their family members can suffer significant psychological distress affecting activity of daily living, family relationship, social participation and professional life. There are few initiatives where the psychological interventions were provided to patients and family group which have shown significantly beneficial impact on psychological health. However, there is a limited number of studies that address the psychological needs of patients, family members and bereaved family members with critical care experience.
Objectives
The aim of this study was to explore patients’, family members’ and bereaved family members’ experiences of counselling provision.
Methods
We conducted a qualitative study in three Scottish Intensive care units (ICU) between 2015-2017. Counselling service was provided to former ICU patients and their family members, including those bereaved following a critical illness experience by a qualified, professionally accredited counsellor who had a background in Intensive Care nursing. Participants self-referred to the service. Semi-structured interviews were conducted to explore participants’ experience of accessing the counselling service, their expectations and experiences of the counselling sessions, and their recommendations for future development. Thematic analysis was used to analyse the data. Data reporting was done using Consolidated Criteria for reporting qualitative research checklist (COREQ).
Results
All twelve participants (Patients n= 3, Family members n = 7 and Bereaved family members n=2) considered their overall experience of the counselling support positive. Four key themes were identified: perceived benefits, feasibility, appraisal and context of care. Conduit to resilience, enhanced coping, relief through disclosure, maintaining family relationship and individualised support were the main perceived benefits experienced by participants. The nurse-counsellor’s counselling expertise and critical care background was appreciated by the majority of the participants.
Conclusion
In conclusion, the counselling support provided to patients, family members and bereaved family members was considered a feasible and acceptable intervention.
Relevance to future research: A full-scale randomised control trial is required to measure the impact of counselling service on patient and family outcomes.
Keywords: Critical care, counselling, patients, family members, and bereaved family members
Psychological Resilience and Perceived Social Support Among Women Exposed to Traumatic Events of Saptari District, (Kanchanrup Municipality)
Get PDFSaptari is the smallest district in Nepal; it lies in the country’s eastern development region. There have been limited studies conducted about Maithali women\u27s status and domestic violence they face, however, no studies were conducted about the psychological resilience and social support they receive to overcome these adversities specifically in the Saptari district. The position of Madhesi women is worse because of analphabetism, and political, religious, and superstitious beliefs. The study\u27s primary objective is to examine the relationship between resilience and social support among women facing traumatic events in life. A descriptive cross-sectional study consisted of 200 respondents from the paralegal committee and the Kanchanrup municipality community, in the Saptari district. Quantitative data was collected for this research. The Connor-Davidson Resilience Scale (CD-RISC) and the Multidimensional Scale of Perceived Social Support (MSPSS) were used to measure resilience and social support. Pearson\u27s correlation and t-test analyses were performed to examine associations between resilience and independent variables. The collected data was analyzed using SPSS 16. The study findings indicated significant associations between resilience and social support (r==.853,
Quality and impact of pharmacology digital simulation education on pre-registration healthcare students a systematic literature review
Get PDFObjectiveThis review aimed to assess the quality and nature of the literature related to digital simulation-based pharmacology education. Specifically, we sought to understand the influence of simulations on the knowledge, satisfaction, and confidence of pre-registration nurses and other healthcare students participating in such educational programs.DesignSystematic review using the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) Statement. This study was registered in the Prospective Register of Systematic Reviews (PROSPERO, reg no: CRD42023437570).Data sourcesPubMed, MEDLINE, APA PsycInfo, ProQuest, Web of Science, ScienceDirect, and CINHAL databases were searched.Review methodsThe review focused on the quantitative findings from the studies published from 2016 to 2023. Only the studies that assessed the impact of digital simulation-based pharmacology education on pre-registration healthcare students' knowledge, satisfaction, and confidence were selected for review. Data were synthesized using a narrative approach. The Mixed Methods Appraisal Tool (MMAT) was used to assess the quality of the included articles. This was followed by a narrative synthesis to consolidate the themes.ResultOut of 1587 articles,16 met the inclusion criteria. A wide variety of digital technologies have been utilised, such as virtual simulation, computer simulation (2D/3D), mixed reality, and augmented reality, with the majority using virtual simulation. All studies implemented single-user simulations. The themes emerging from the narrative synthesis suggest that a digital simulation-based pharmacology course is an effective tool for enhancing students' knowledge, confidence, and satisfaction in learning pharmacological concepts. Furthermore, simulation-based teaching with a blended approach was found to be beneficial. However, the integration of the polypharmacy concept and the intra and interprofessional approach to teaching and learning was not evident in these studies.ConclusionThis systematic literature review provides evidence of the potential of digital simulation-based education in pharmacology teaching among healthcare pre-registration students. In future studies, the integration of polypharmacy content with an intra and interprofessional teaching-learning approach is recommende
