Preprint Article Version 1 Preserved in Portico This version is not peer-reviewed

Perception of the Intrashift Pass as a Tool for Reducing Uncertainty in Nursing: Ad-Hoc Survey

Version 1 : Received: 27 June 2023 / Approved: 28 June 2023 / Online: 29 June 2023 (14:05:19 CEST)

How to cite: Calvillo Núñez, N.; Esquirol Caussa, J. Perception of the Intrashift Pass as a Tool for Reducing Uncertainty in Nursing: Ad-Hoc Survey. Preprints 2023, 2023062162. https://doi.org/10.20944/preprints202306.2162.v1 Calvillo Núñez, N.; Esquirol Caussa, J. Perception of the Intrashift Pass as a Tool for Reducing Uncertainty in Nursing: Ad-Hoc Survey. Preprints 2023, 2023062162. https://doi.org/10.20944/preprints202306.2162.v1

Abstract

Introduction: Lack of certainty or knowledge in health professions generates uncertainty, affecting clinical practice in decision-making (diagnostic or therapeutic), intervention design and therapeutic communication. In nursing, the lack of information to predict prognosis and outcome of interventions generates uncertainty: recognizing and managing it is essential for individualized, safe, and effective care. Objective: to assess uncertainty and the perception of a debriefing within the same shift ("intrathoracic pass") as a proposal for improvement. Method: ad-hoc survey of nursing professionals and Auxiliary Nursing Care Technicians (ANC). Variables: age, work experience, PRU scale (Physisicians' Reactions to Uncertainty) and additional question on intrathoracic pass. Results: Sample: 61 nurses and 10 TCAE (90.14 % female, 9.86 % male; mean age 35.18, standard deviation SD=13.04). Mean professional experience 11.74 years (SD=12.21); 56.33% had ≤4 years of experience. Origin: 49.30% Intensive Care Units (ICU), 11.27% Hospitalization, 7.04% Emergency, 1.41% Primary Care and 30.99% Other Services. The mean level of uncertainty was 27.99 points (max. possible 75; SD=7.50), with stress (mean=25.55, max. possible: 40; SD=5.24) and anxiety (mean=15.80, max. possible: 25; SD=3.05) as major manifestations. The association uncertainty-age (r=0.339; p=0.004) and uncertainty-experience (r=0.391; p=0.001) correlated negatively (the older and more experienced, the less uncertainty), with no significant differences between degrees or services. 91.55% stated that the intra-day pass was useful to reduce uncertainty during the working day. Conclusion: Uncertainty is frequent in nursing, and implementing the intrashift pass is perceived as a competent strategy.

Keywords

Uncertainty; PRU scale; anxiety; stress; report; nursing communication

Subject

Public Health and Healthcare, Nursing

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