[Quality and quantitative comparison of health status during nursing care before and after basic kinesthesis training in a nuclear and radiotherapy clinic].
Immediately before and half a year after an introductory course into the principles of kinesthetic nursing the nursing team of the Clinic for Nuclear Medicine and Radiotherapy, City Hospital Triemli (Zurich, Switzerland), was asked to attend a semi-structured interview and nonverbal rating of a selection of important aspects of their physical and mental state during nursing. Eighteen persons had two interviews. The main differences in the second interview compared to the first one are the following: With respect to personal aims at work caring for the patients' well-being had fewer mentions; instead nursing was more often considered a process to which both sides do contribute significantly. Considerable improvements were found regarding to the physical contact to patients while caring, the team, and the nurses' general mental well-being. Physical benefits from the new nursing method were experienced only by part of the team, probably due to unplanned cancelling of kinesthetic supervision. Pressure due to the nurses' compassion for their patients' suffering and dying also was much less mentioned in the second interview, when pressure from outside, and lack of interdisciplinary communication and cooperation weighted more heavily.


CONCLUSIONS
Competence was already high in the team at the time of the first interview, but even improved by the time of the second interview. This is expressed by the resource-oriented patient-nurse partnership in the process of nursing, by team communication, as well as the heavily weighing discrepancy between knowledge and limited authorisation.
Christen
Lisanne
L
Krankenpflegeschule Zürich, Arbeitsgemeinschaft Sozialwissenschaft und Gesundheitsforschung. wuw@christen-sons.ch
Scheidegger
Judit
J
Grossenbacher
Georgette
G
Christen
Stephan
S
Oehninger
Ruth
R
D001291:Attitude of Health Personnel; D003479:Curriculum; D006801:Humans; D007318:Inservice Training; D007400:Interprofessional Relations; D018953:Kinesiology, Applied / Q000193:education*; D007699:Kinesthesis; D009684:Nuclear Medicine Department, Hospital; D009723:Nurse-Patient Relations; D009741:Nursing Staff, Hospital / Q000193:education*; D009746:Nursing, Team; D015397:Program Evaluation; D011878:Radiotherapy / Q000451:nursing*; D013557:Switzerland