PubMed · 15490649
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Carol Petrozella. 2004. Nursing value: connectedness.. https://pubmed.ncbi.nlm.nih.gov/15490649/
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The Swedish public healthcare sector is administered by county councils or regions with their own power of taxation. These authorities are facing difficult times as the gap between demand and healthcare resources is widening and the option to further increase county council taxes is not politically tempting. It is becoming ever more apparent that, sooner or later, limits to the public healthcare commitment must be set. In the north-western district of Region Skåne, the district board determined to initiate a public dialogue on prioritisation with local residents. Annual surveys were sent to 1% of the population ( approximately 2500 individuals) during the period 2002-2004. The addressees were also asked if they wanted to participate in public meetings with the healthcare politicians. This study investigates what happened to the preferences and attitudes of the interest group when the participants were not only offered an opportunity to enter into a dialogue with their peers and representatives, but also received information on prioritisation matters. After the intervention, which consisted of two public meetings with politicians and five information booklets on prioritisation issues, the study group was asked to participate in a second survey. At the follow-up, 20% fewer thought that one should always have a right to public healthcare, even if troubles were trivial. Eighty four percent in the study group thought that the general public should participate in prioritisation discussions while only 64% in the control group agreed to this. Eighty two percent of the study group marked the dialogue project "good" or "very good". The results indicate an increased acceptance for reallocations, a strengthened will to participate and more confidence in the politicians and their work. The study is descriptive and designed to make long-term follow-ups possible.
It is universally accepted that nursing practice is predicated upon the notion of holistic care, in that nurses need to address not only the physical needs of ill patients but also their psychological, social, spiritual, and environmental needs. However, there is considerable evidence to suggest that nurses often inadequately identify and respond to patients' psychological needs, sometimes with adverse consequences for physical health and recovery. This may be because they do not fully understand the concept of psychological care, or have been inadequately prepared or educated to deliver it in practice. Following a summary of relevant literature and an overview of findings from a larger study of the nature and experience of psychological caregiving, this paper discusses specific findings on preparing nurses for their psychological caregiving role. The paper proposes a curriculum framework designed to enhance awareness, knowledge, and skill in effective psychological caregiving in nursing practice, to the ultimate benefit of physically ill patients. For the purposes of this paper, psychological care is taken to mean one element of the broader concept of care, rather than being synonymous with it.
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