Annals of Medicine

ISSN: 0785-3890 (Print) 1365-2060 (Online) Journal homepage: https://www.tandfonline.com/loi/iann20

Humanization of nursing care in the emergency

service: a systematic review

Beatriz Rôlo, Beatriz Santos, Ivan Duarte, Letícia Pires & Cidália Castro

To cite this article: Beatriz Rôlo, Beatriz Santos, Ivan Duarte, Letícia Pires & Cidália Castro (2019)
Humanization of nursing care in the emergency service: a systematic review, Annals of Medicine,
51:sup1, 204-204, DOI: 10.1080/07853890.2018.1560164

To link to this article: https://doi.org/10.1080/07853890.2018.1560164

Published online: 28 May 2019.

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S204 ABSTRACTS

negative influence associated with work, such as stress and burnout. NPE has a positive indirect effect in JS through
team/work group cohesion, multidisciplinarity, lack of organizational resources/constraints, working conditions/increased
workload, labor discrimination, benefits and rewards, lack of clarity in nurses’ responsabilities, patients and doctors’ per-
ceptions, poor leadership skills, promotion and professional development opportunities, distributive justice, negative
affectivity. Nurses’ JS is strongly associated with NPE, which is the main factor that affects JS. NPE factors have an indirect
positive effect on JS through several variables. Additionally, NPE characteristics have a significant influence on burnout
and quality of care and, together with JS, on nurses’ intention to leave [2,4,5,7].

CONTACT In^es Ventura inesofventura@gmail.com

References
[1] Cao Y, DiGiacomo M, Salamonson Y, et al. Nurses’ Perceptions of their professional practice environment: a cross sec-
tional study. Journal of Clinical Nursing. 2015;24:3441–3448. doi:10.1111/jocn.12953
[2] Choi SP, Cheung K, Pang SM. Attributes of nursing work environment as predictors of registered nurses’ job satisfaction
and intention to leave. Journal of Nursing Management. 2013;21(3):429–439.
[3] Kutney-Lee A, Wu ES, Sloane DM, et al. Changes in hospital nurse work environments and nurse job outcomes: an ana-
lysis of panel data. International Journal of Nursing Studies. 2013;50(2):195–201. doi:10.1016/j.ijnurstu.2012.07.014
[4] Djukic M, Kovner CT, Brewer CS, et al. Exploring Direct and Indirect Influences of Physical Work Environment on Job
Satisfaction for Early-Career Registered Nurses Employed in Hospitals. Research In Nursing & Health. 2014;37(4):312–325.
doi:10.1002/nur.21606
[5] Lambrou P, Merkouris A, Middleton N, et al. Nurses’ perceptions of their professional practice environment in relation to
job satisfaction: a review of quantitative studies. Health Science Journal. 2014;8(3):298–317.
[6] Silber JH, Rosenbaum PR, McHugh MD, et al. Comparison of the Value of Nursing Work Environments in Hospitals
Across Different Levels of Patient Risk. JAMA Surgery. 2016;151(6):527–536. doi:10.1001/jamasurg.2015.4908
[7] Copanitsanou P, Fotos N, Brokalaki H. Effects of work environment on patient and nurse outcomes. British Journal of
Nursing. 2017;26(3):172–176.

DOI: 10.1080/07853890.2018.1560162

Humanization of nursing care in the emergency service: a systematic review

^loa, Beatriz Santosa, Ivan Duartea, Letıcia Piresa and Cidalia Castroa,b,c
Beatriz Ro
a
Escola Superior de Saude Egas Moniz, Nurse /department, Portugal; bCentro de Investigaç~ao Interdisciplinar Egas Moniz (CiiEM),
Caparica, Portugal; cUnidade de Investigaç~ao e Desenvolvimento em Enfermagem (UI&DE), Lisboa, Portugal

Introduction: Nowadays, in spite of technological and scientific advances, there is the need for health care humanization
in the Emergency Department, with a special emphasis on nurses, who are the promoter of provided care. In this way,
the nursing team should be prepared to attend the other varied situations, thus, the humanization seeks another look to
the assistance to the critical ill patient reflecting on the nursing care practices [1]. The aim of this review is to ascertain
the importance of the humanization of the nursing care, in the critical ill patient in the emergency service.
Materials and methods: This systematic literature review was conducted through scientific research, in the time space of
February 2008 to February 2018 in the B-On and Ebscohost databases. Inclusion criteria: To have at least, two of the fol-
lowing descriptors searched in the B-on Platform: Humanization, Nursing Care, Critical Ill, Emergency Service; Full text
available; in the following Languages: Portuguese, English and Spanish. The research question of this review is: What is
the importance of humanization (O) in the nursing care (I) in the patient (P) in the emergency department. 35 studies
were selected by exclusion and inclusion criteria. 7 studies were excluded after reading the title and the abstract and 5
were selected after reading the full text.
Results: The main factors that influence the humanization of care for unstable patients are those that affect the patient’s
physiological, psychological and social changes [2]. It is important to look at the unstable patient in their various aspects,
seeing him as a whole, thus performing holistic nursing care [2]. There are fundamental principles, which regulate the
humanized practice of nursing care, who work in the emergency field, who guarantee the basic human needs through
teamwork, as well as aim at self-care, recovery and health promotion [3]. Humanized hospital care is understood as syn-
onymous with “patient perception in its totality”, taking into account not only the physical aspects but also the social
and emotional aspects [4]. Humanization is absent in the daily life of the Emergency Service [5]. Humanized care has
given rise to “dehumanization”, both from the nursing professional to the patient, and from the institution to the profes-
sional [6]. However, humanization and nursing care are inseparable [6].
 ANNALS OF MEDICINE S205

Discussion and conclusions: The need to provide well-being to the other should be felt as a priority to the satisfaction
of the patient, experiencing humanization in all its breadth, privileging the pleasure of caring. The difficulties in the
humanization of emergency departments are due to overwork and shortage of professionals, as well as inadequate struc-
tural and organizational conditions to develop health-restructuring activities. It is necessary to promote the training of
health professionals, the encouragement for the creation of action strategies, giving priority to the human right to dignity
and respect as a patient. Professionals should be recognized through incentives, with a good hospital structuration, as
well as an adequate nurse-patient ratio in the sector to guarantee humanized nursing care.

CONTACT Beatriz R^
olo beamrolo@outlook.pt

References
[1] Souza R, Silva M. Pronto-socorro: uma vis~ao sobre a interaç~ao entre profissionais de enfermagem e pacientes. Revista
Ga ucha Enfermagem, 2007;242–249.
[2] Verıssimo F. A humanizaç~ao como express~ao maxima do cuidado ao doente crıtico. Dissertaç~ao para obtenç~ao de grau
de mestre em enfermagem medico-cirurgica
 apresentada a UCP [Internet] 2013. pp. 1–179.
[3] Santos T. Humanizaç~ao em unidades de urg^encia e emerg^ encia. 2014;1–12.
[4] Costa N, Fernandes P, Nascimento T. Serviço Hospitalar: Humanizaç~ao dos cuidados de enfermagem. 2013;1–70.
[5] Cavalcante A, Damasceno C, Miranda M. Humanizaç~ao da assist^ encia em atendimento de urg^ encia hospitalar: perceç~ao
dos enfermeiros. Revista Baiana de Enfermagem. 2013;23(3):221–233.
[6] Br^etas A, Matheus M, Corbani N. Humanizaç~ao dos cuidados de enfermagem: o que  e isso? Revista Brasileira de
Enfermagem. 2009;62(3):349–354.

DOI: 10.1080/07853890.2018.1560164

Involving undergraduate nursing students in a multidisciplinary research

project: strategy for implementation, first results and future perspectives
Anabela Mendesa, Isabel Costa e Silvaa, Adriana Henriquesa, Ana Paula Claudiob, Jo~ao Balsab,
Maria Beatriz Carmob, Susana Buinhasb, Afonso Cavacoc, Nuno Pimentad, Isa F elixa and
a,e
Mara Pereira Guerreiro
a
Lisbon School of Nursing, Lisbon, Portugal; bBioISI, Faculty of Sciences, University of Lisboa, Lisbon, Portugal; cFaculty of Pharmacy &
iMed.Ulisboa, Lisbon, Portugal; dSport Sciences School of Rio Maior – IPSantarem, Santarem, Portugal; eCiiEM, Instituto Universitario
Egas Moniz, Monte de Caparica, Portugal

Introduction: Engaging undergraduate students in faculty-led research is documented as a mutually valuable experience
[1,2]. The VASelfCare project started in January 2018 (http://vaselfcare.rd.ciencias.ulisboa.pt); it aims to develop and test a
software prototype with a virtual assistant, to facilitate self-care of older people with type 2 diabetes. The project entails
the involvement of undergraduate nursing students at the consortium’s lead Institution (ESEL). The purpose of this paper
is to describe the strategy for students’ participation and present its first results.
Materials and methods: The implementation strategy was informed by prior experience of the research team and rele-
vant literature. A call for applications was launched within ESEL, targeting 2nd to 4th year students. The call provided
information about the project, the required student profile and the selection process. In this early phase, participation
consisted of expanding the literature review on features of virtual assistant softwares. After an initial meeting, each stu-
dent was assigned a specific task. Students worked in pairs and presented their work in two meetings with the multidis-
ciplinary research team, scheduled over the course of roughly two months. Students’ opinion was ascertained at the end
of this phase by means of an anonymous questionnaire, comprised by four open questions and five closed questions.
Results: All the 12 applications were selected. There was a predominance of 3rd year students (n ¼ 5). Of the 11 students
who completed this phase, six responded to the questionnaire and consented to the use of data in publications related
to the project. Participation was described in one word using terms such as “challenging” and “interesting”. Students per-
ceived their involvement as an opportunity to contact with research and innovation, to develop competencies and to net-
work with students with different background. Views on less positive aspects pertained mainly to the small exposure to
research. Students’ expressed willingness to be involved in more phases of the project and to be informed about its
results. They unanimously agreed (6/6) that participation contributed to improving their understanding of novel situations
in a different scientific area and to the development of skills in scientific literature analysis.
Discussion and conclusions: Thorough recruitment, assigning specific tasks, peer support and regular meetings were an
effective strategy for involving students. This is in line with previous findings [2], and may be of help to researchers in