Humanistic versus pragmatic approach to nursing care for cardiac patients

Zdeňka Pavelková1, Alan Bulava1, 2
1University of South Bohemia in České Budějovice, Faculty of Health and Social Studies, Department of Nursing and Midwifery, České Budějovice, Czech Republic 2Hospital České Budějovice, Department of Cardiology, České Budějovice, Czech Republic

Korespondenční autor: Zdeňka Pavelková (zpavelkova@zsf.jcu.cz)

ISSN 1804-7181 (On-line)

Full verze:
Full version

Submitted:17. 9. 2015
Accepted: 24. 11. 2015
Published online: 31. 12. 2015

Summary

Introduction: This paper deals with the attitude of nurses to cardiac patients undergoing modern non-pharmacological methods of treatment of atrial fibrillation (AF), with reference to the fundamental principles of nursing and nursing care. AF is the most common supraventricular arrhythmia for which, in the last twenty years, there has been a significant increase in recorded prevalence and incidence. The issue of the perception of nursing care presents the view on the orientation and specialization of nurses, i.e. whether the specialization is technical (i.e. only on performance) or humanist. Objectives and methods: The aim of this research was to assess whether the nurses in the nursing care of patients after the radiofrequency catheter ablation (RFA) after AF were more oriented to the technical or humanistic approach. The research was conducted using a quantitative survey through a standardized questionnaire CBI-24 (Caring Behaviors Inventory) and took place between 2012 and 2014. Results: The research sample consisted of two groups: patients with AF undergoing RFA (n = 264) and nurses in cardiology (n = 92) caring for them. Based on the assessment of the nurses’ orientation dealing with patients after RFA, the nurses assessed their technical skills to be better than the humanistic approach to patients (p = 0.025). It is evident from the results that the nurses’ orientation to performance was a better assessed area than the creation of the feeling of security and safety (p = 0.035). Conclusion: Nurses dealing with patients after RFA assessed their technical skills to be better than the humanist approach to patients. At the same time, the patients also assessed areas focused on performance to be better than the creation of the feeling of security and safety.

Keywords: nursing care; nursing; humanism; cardiological patient; a pragmatic approach; nurse

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